King, John David

King, John David is an individual health care provider with primary practice located at 10590 Enduring Freedom Dr , Fort Drum NY 13602-5503. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. King, John David can be contacted via phone (315) 772-0220.

Contact Information

Primary practice address
10590 Enduring Freedom Dr Fort Drum NY 13602-5503
Phone: (315) 772-0220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D-4092 Idaho

Profile Details

NPI number 1225221971
LBN Legal business name King, John David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2007
Last updated Jul 2nd, 2019 - about 7 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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