King, Ty

King, Ty is an sole proprietor health care provider with primary practice located at 1109 W Chestnut St , Rogers AR 72756-3529. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. King, Ty can be contacted via phone (479) 633-8846.

Contact Information

Primary practice address
1109 W Chestnut St Rogers AR 72756-3529
Phone: (479) 633-8846
Fax: (479) 633-8890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3457 Arkansas
Dental Providers / Dentist 122300000X 3457 Arkansas

Profile Details

NPI number 1063555415
LBN Legal business name King, Ty
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Aug 28th, 2023 - about 2 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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