King, Ronald Edward

King, Ronald Edward is an sole proprietor health care provider with primary practice located at 2116 Logan Ave , Waterloo IA 50703-1006. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. King, Ronald Edward can be contacted via phone (319) 235-1151.

Contact Information

Primary practice address
2116 Logan Ave Waterloo IA 50703-1006
Phone: (319) 235-1151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5324 Iowa

Profile Details

NPI number 1720140791
LBN Legal business name King, Ronald Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 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 1720140791 NPPES
Iowa MEDICAID 1065862

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