King, Wayne L
King, Wayne L is an individual health care provider with primary practice located at 7465 Northside Dr , North Charleston SC 29420-4209. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. King, Wayne L can be contacted via phone (843) 797-5400.Contact Information
Primary practice address
7465 Northside Dr
North Charleston SC 29420-4209
Phone: (843) 797-5400
Fax: (843) 797-5164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 30-1696 | South Carolina |
Profile Details
| NPI number | 1265466163 |
|---|---|
| LBN Legal business name | King, Wayne L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265466163 | NPPES |
| South Carolina | MEDICAID | Z16965 |
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