Provider Demographics
NPI:1922579473
Name:CHRISTOPHER M. KING, DDS, MD, PLLC
Entity Type:Organization
Organization Name:CHRISTOPHER M. KING, DDS, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RELATIONSHIP COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-900-3520
Mailing Address - Street 1:5209 HERITAGE AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5997
Mailing Address - Country:US
Mailing Address - Phone:817-900-3520
Mailing Address - Fax:833-477-1250
Practice Address - Street 1:5209 HERITAGE AVE STE 220
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5997
Practice Address - Country:US
Practice Address - Phone:817-900-3520
Practice Address - Fax:833-477-1250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty