Jeremy Richard King in Medford - Dentist

Jeremy Richard King - NPI 1235394685

Jeremy Richard King is a Dentist in Medford, Oregon. Jeremy Richard King practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeremy Richard King is 1235394685. The last update date is 2008-07-25.

Jeremy Richard King's current location address is 1293 E Mcandrews Rd, Medford, Oregon. You can contact this provider via phone number 5417721215 and fax number 5417723210. The mailing address for Jeremy Richard King is 1293 E Mcandrews Rd, Medford, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy Richard King
Address 1293 E Mcandrews Rd, Medford, Oregon
Phone Number 5417721215
Fax Number 5417723210
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1235394685
Provider Enumeration Date 2008-07-25
Last Updated Date 2008-07-25

Provider Mailing Address Detail

Address 1293 E Mcandrews Rd
City Medford
State Oregon (OR)
Post Code 975046103
Phone Number 5417721215
Fax Number 5417723210

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D8487
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1640757 PA UNITED CONCORDIA

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FAQs about Jeremy Richard King

What is the Jeremy Richard King's unique identification number?

The Jeremy Richard King has been assigned the NPI (National Provider Identifier) Number 1235394685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jeremy Richard King is geographically located?

The Jeremy Richard King is physically situated at the following location: 1293 E Mcandrews Rd, Medford, OR, 975046103.

What is the area of specialization for Jeremy Richard King, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeremy Richard King is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1235394685 to Jeremy Richard King?

The Jeremy Richard King received its 1235394685 assignment from the Centers for Medicare & Medicaid Services on 2008-07-25.

When was the information related to Jeremy Richard King most recently updated or refreshed?

The details pertaining to the Jeremy Richard King, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-25.

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