Provider Demographics
NPI:1891076774
Name:KING, JAMES H III (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:KING
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7411 RIGGS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4246
Mailing Address - Country:US
Mailing Address - Phone:301-562-0811
Mailing Address - Fax:301-562-1308
Practice Address - Street 1:7411 RIGGS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4246
Practice Address - Country:US
Practice Address - Phone:301-562-0811
Practice Address - Fax:301-562-1308
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD116651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice