King, Melinda Renee

King, Melinda Renee is an individual health care provider with primary practice located at 7402 Highway 69 S Suite H, Tuscaloosa AL 35405-1300. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. King, Melinda Renee can be contacted via phone (205) 344-9220.

Contact Information

Primary practice address
7402 Highway 69 S Suite H Tuscaloosa AL 35405-1300
Fax: (205) 344-9221
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X LNO5502 Alabama

Profile Details

NPI number 1669523627
LBN Legal business name King, Melinda Renee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Sep 2nd, 2015 - about 10 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 1669523627 NPPES
Alabama MEDICAID 630500110

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