Provider Demographics
NPI:1164587796
Name:KING, KENNETH ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:ARTHUR
Last Name:KING
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:ROSEMAN UNIVERSITY OF HEALTH SCIENCES, CODM
Mailing Address - Street 2:10894 S RIVER FRONT PARKWAY
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-3538
Mailing Address - Country:US
Mailing Address - Phone:801-878-1419
Mailing Address - Fax:801-878-1336
Practice Address - Street 1:10920 RIVER FRONT PKWY
Practice Address - Street 2:ROSEMAN UNIVERSITY OF HEALTH SCIENCES, CODM
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-3538
Practice Address - Country:US
Practice Address - Phone:801-878-1419
Practice Address - Fax:801-878-1336
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2021-11-24
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Provider Licenses
StateLicense IDTaxonomies
CA307111223G0001X
UT8017575-99221223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice