| King Dental Pc | |
|
1855 W Nob Hill St Se Ste 200 Salem OR 97302-5288 | |
| (503) 588-0061 | |
| Not Available |
| Full Name | King Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1855 W Nob Hill St Se Ste 200, Salem, Oregon |
| Authorized Official Name and Position | Wendell King (PRESIDENT) |
| Authorized Official Contact | 5035880061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Dental Pc 1855 W Nob Hill St Se Ste 200 Salem OR 97302-5288 Ph: (503) 588-0061 | King Dental Pc 1855 W Nob Hill St Se Ste 200 Salem OR 97302-5288 Ph: (503) 588-0061 |
| NPI Number | 1487929980 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487929980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8468 (Oregon) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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