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JACK D. KING, DDS, PA
NPI 1407129877
Clinic/Center - Dental in Statesville, NC

Active since February 16, 2012
1706 DAVIE AVE, SUITE B, STATESVILLE, NC 28677(704) 873-1968(704) 872-5841 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack D. King, Dds, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK D. KING, DDS, PA (NPI 1407129877) is a healthcare organization registered as a dental in Statesville, North Carolina and active in the NPI registry since February 2012. The organization lists Jack Douglas King, President, as its authorized official.

NPPES Registry Identity

NPI1407129877
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJACK D. KING, DDS, PA
Location Address1706 DAVIE AVE, SUITE BStatesville, NC 28677-3589
Mailing Address1706 Davie Ave, Suite BStatesville, NC 28677-3589 · (704) 873-1968 · Fax (704) 872-5841
Phone(704) 873-1968
Fax(704) 872-5841
Organization SubpartNo
Authorized OfficialJack Douglas KingPresident · (704) 873-1968
Enumeration DateFebruary 16, 2012
✔ NPI 1407129877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NC · 5157
1706 DAVIE AVE, Statesville, NC 28677
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT LOGAN SCHMIDT DMD
Dentist
1706 DAVIE AVE, SUITE B
STATESVILLE, NC 28677
Iredell County (704) 873-1968
MS. ELAINE SHARON CRUMMETT L.P.A., L.P.C.
Psychologist (Clinical)
1706 DAVIE AVE, SUITE D
STATESVILLE, NC 28677
Iredell County (704) 880-2384
ROBERT L SCHMIDT DMD PLLC
Clinic/Center (Dental)
1706 DAVIE AVE, SUITE B
STATESVILLE, NC 28677
Iredell County (704) 873-1968
DR ALLEN J ROMEO & ASSOCIATES PLLC
Psychologist (Clinical)
1706 DAVIE AVE
STATESVILLE, NC 28677
Iredell County (704) 872-5990
DR. ALLEN JOSEPH ROMEO PH.D
Psychologist (Clinical)
1706 DAVIE AVE
STATESVILLE, NC 28677
Iredell County (704) 872-5990
REBECCA WHITE ROMEO LPC
Counselor (Professional)
1706 DAVIE AVE
STATESVILLE, NC 28677
Iredell County (704) 872-5990
DR. JACK DOUGLAS KING DDS
Dentist (General Practice)
1706 DAVIE AVE, STE B
STATESVILLE, NC 28677
Iredell County (704) 873-1968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack D. King, Dds, PA's NPI number?

The NPI number for Jack D. King, Dds, PA is 1407129877. It was assigned to this organization in the NPPES registry on February 16, 2012.

Where is Jack D. King, Dds, PA located?

Jack D. King, Dds, PA is located at 1706 Davie Ave Suite B, Statesville, NC 28677. The listed phone number is (704) 873-1968.

What is Jack D. King, Dds, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jack D. King, Dds, PA was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.