Provider Demographics
NPI:1215196407
Name:KING, JAMES FRANK (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:FRANK
Last Name:KING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:J
Other - Middle Name:FRANK
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:3022 E GLENCOVE CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-4228
Mailing Address - Country:US
Mailing Address - Phone:480-390-1600
Mailing Address - Fax:
Practice Address - Street 1:4317 E MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-4501
Practice Address - Country:US
Practice Address - Phone:602-633-0405
Practice Address - Fax:480-654-0705
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ42151223G0001X
AZD010928122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice