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NPI Code Detail

MEDICARE: DR. PHILIP JOSEPH KING DDS

MEDICARE: DR. PHILIP JOSEPH KING DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodontics4120OK

General Provider Information

NPI Number : 1043202278
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP JOSEPH KING DDS
Provider Business Mailing Address
First Line : PSC 475 , BOX 1821
Second Line : US NAVAL HOSPITAL YOKOSUKA
City : FPO
State : AP
Zip : 96350 1821
Country : US
Telephone Number : 01181468962800
Fax Number :
Provider Business Practice Location Address
First Line : PSC 475 , BOX 1821
Second Line : US NAVAL HOSPITAL YOKOSUKA
City : FPO
State : AP
Zip : 96350 1821
Country : US
Telephone Number : 01181468962800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 04/20/2008

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Directions to “ DR. PHILIP JOSEPH KING DDS” Practice Location

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