King, Jack Douglas

King, Jack Douglas is an individual health care provider with primary practice located at 1706 Davie Ave Ste B, Statesville NC 28677-3589. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. King, Jack Douglas can be contacted via phone (704) 873-1968.

Contact Information

Primary practice address
1706 Davie Ave Ste B Statesville NC 28677-3589
Phone: (704) 873-1968
Fax: (704) 872-5841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5157 North Carolina

Profile Details

NPI number 1811992332
LBN Legal business name King, Jack Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 2007 - about 18 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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