DR. MICHAEL ENON KING DDS NPI 1003002361

Dentist (General Practice) in Woodbridge, VA

About MICHAEL KING

Michael King is a provider in Woodbridge, VA. The NPI number assigned to this provider is 1003002361. The practitioner's primary taxonomy code is Dentist (1223G0001X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1003002361

Provider NameDR. MICHAEL ENON KING DDS
Provider Location Address16689 RIVER RIDGE BLVD WOODBRIDGE, VA 22191
Provider Mailing Address16689 RIVER RIDGE BLVD WOODBRIDGE, VA 22191
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-20-2007
Last Update Date09-20-2007

Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.0401008593
License StateVA
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Business Address

DR. MICHAEL ENON KING DDS
16689 RIVER RIDGE BLVD
WOODBRIDGE, VA
ZIP 22191
Phone: (703) 221-9759
Fax: (703) 221-2788

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Mailing Address

DR. MICHAEL ENON KING DDS
16689 RIVER RIDGE BLVD
WOODBRIDGE, VA
ZIP 22191
Phone: (703) 221-9759
Fax: (703) 221-2788

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447433578TEAM DENTAL AT RIVER OAKS
Organization
Exclusive Provider Organization16689 RIVER RIDGE BLVD
WOODBRIDGE, VA 22191
(703) 221-9759

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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