King, Charles Mark
King, Charles Mark is an sole proprietor health care provider with primary practice located at 6662 Highway 75 Suite 114, Pinson AL 35126-3200. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. King, Charles Mark can be contacted via phone (205) 681-5959.Contact Information
Primary practice address
6662 Highway 75 Suite 114
Pinson AL 35126-3200
Phone: (205) 681-5959
Fax: (205) 681-5954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3681 | Alabama |
Profile Details
| NPI number | 1649287038 |
|---|---|
| LBN Legal business name | King, Charles Mark |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649287038 | NPPES |
| Alabama | Other | 01015 | BLUECROSSBLUESHIELD |
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