King, Derek Timothy

King, Derek Timothy is an individual health care provider with primary practice located at 3695 W Boynton Beach Blvd Suite 1, Boynton Beach FL 33436-4516. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. King, Derek Timothy can be contacted via phone (561) 364-1800.

Contact Information

Primary practice address
3695 W Boynton Beach Blvd Suite 1 Boynton Beach FL 33436-4516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X FK3907853 Florida

Profile Details

NPI number 1154611176
LBN Legal business name King, Derek Timothy
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2011
Last updated Feb 3rd, 2016 - about 10 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.

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