| Jack E. King Dds Inc | |
|
6460 Far Hills Avenue Centerville OH 45459 | |
| (937) 433-0830 | |
| (937) 433-9530 |
| Full Name | Jack E. King Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6460 Far Hills Avenue, Centerville, Ohio |
| Authorized Official Name and Position | Jack E. King (PRESIDENT) |
| Authorized Official Contact | 9374330830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack E. King Dds Inc 6460 Far Hills Avenue Centerville OH 45459 Ph: (937) 433-0830 | Jack E. King Dds Inc 6460 Far Hills Avenue Centerville OH 45459 Ph: (937) 433-0830 |
| NPI Number | 1013051150 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013051150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 30013512 (Ohio) | Primary |
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