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NPI Code Detail

MEDICARE: JAMES FRANK KING DDS

MEDICARE:   JAMES FRANK 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
11223G0001XGeneral Practice Dentistry4215AZ
2122300000XDentistD010928AZ

General Provider Information

NPI Number : 1215196407
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES FRANK KING DDS
Provider Business Mailing Address
First Line : 3022 E GLENCOVE CIR
Second Line :
City : MESA
State : AZ
Zip : 85213-4228
Country : US
Telephone Number : 480-390-1600
Fax Number :
Provider Business Practice Location Address
First Line : 4317 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4501
Country : US
Telephone Number : 602-633-0405
Fax Number : 480-654-0705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 04/27/2021

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