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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265466163 NPPES
South Carolina MEDICAID Z16965

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