King, Kenneth T.

King, Kenneth T. is an individual health care provider with primary practice located at 2170 Ashley Phosphate Rd Suite 600, North Charleston SC 29406-4190. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. King, Kenneth T. can be contacted via phone (843) 569-1717.

Contact Information

Primary practice address
2170 Ashley Phosphate Rd Suite 600 North Charleston SC 29406-4190
Phone: (843) 569-1717
Fax: (843) 563-6139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 2663 South Carolina

Profile Details

NPI number 1770540791
LBN Legal business name King, Kenneth T.
Credentials DMD, PA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770540791 NPPES
South Carolina MEDICAID Z26632

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