Kevin Walter King in Bolingbrook - Dentist
Kevin Walter King - NPI 1033216049
Kevin Walter King is a Dentist in Bolingbrook, Illinois. Kevin Walter King practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kevin Walter King is 1033216049. The last update date is 2007-07-08.
Kevin Walter King's current location address is 463 N Bolingbrook Dr, Bolingbrook, Illinois. You can contact this provider via phone number 6307591644 and fax number 6307591675. The mailing address for Kevin Walter King is 463 N Bolingbrook Dr, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Walter King |
|---|---|
| Address | 463 N Bolingbrook Dr, Bolingbrook, Illinois |
| Phone Number | 6307591644 |
| Fax Number | 6307591675 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1033216049 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 463 N Bolingbrook Dr |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 60440 |
| Phone Number | 6307591644 |
| Fax Number | 6307591675 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Kevin Walter King by the Centers for Medicare & Medicaid Services?
The Kevin Walter King has been issued the NPI (National Provider Identifier) 1033216049 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kevin Walter King?
The Kevin Walter King is physically situated at 463 N Bolingbrook Dr, in the city of Bolingbrook, state of IL, with the postal code 60440.
What is the Kevin Walter King's specialty and taxonomy code?
The Kevin Walter King's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Kevin Walter King receive its 1033216049 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Walter King was assigned its 1033216049 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kevin Walter King, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin Walter King, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.