King, Ty
King, Ty is an sole proprietor health care provider with primary practice located at 1109 W Chestnut St , Rogers AR 72756-3529. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. King, Ty can be contacted via phone (479) 633-8846.Contact Information
Primary practice address
1109 W Chestnut St
Rogers AR 72756-3529
Phone: (479) 633-8846
Fax: (479) 633-8890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3457 | Arkansas |
| Dental Providers / Dentist | 122300000X | 3457 | Arkansas |
Profile Details
| NPI number | 1063555415 |
|---|---|
| LBN Legal business name | King, Ty |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Aug 28th, 2023 - about 3 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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