King, Thomas J
King, Thomas J is an individual health care provider with primary practice located at 100 Bryant St , Dubuque IA 52003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. King, Thomas J can be contacted via phone (563) 557-1440.Contact Information
Primary practice address
100 Bryant St
Dubuque IA 52003
Phone: (563) 557-1440
Fax: (563) 557-7001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 47958 | Minnesota |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 08393 | Iowa |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5844015 | Wisconsin |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D11448 | Minnesota |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 019026707 | Illinois |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 36804 | Iowa |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 49434020 | Wisconsin |
Profile Details
| NPI number | 1942287875 |
|---|---|
| LBN Legal business name | King, Thomas J |
| Credentials | DDS MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Feb 10th, 2011 - about 13 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 | 1942287875 | NPPES |
| Wisconsin | MEDICAID | 33799700 | |
| Wisconsin | Other | 190009751 | |
| Wisconsin | MEDICAID | 0493957 | |
| Wisconsin | MEDICAID | 170198300 | |
| Wisconsin | Other | 14582 |
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