Ty King is a General Practice in Rogers, Arkansas. Ty King practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ty King is 1063555415. The last update date is 2023-08-28.
Ty King's current location address is 1109 W Chestnut St, Rogers, Arkansas. You can contact this provider via phone number 4796338846 and fax number 4796338890. The mailing address for Ty King is 1109 W Chestnut St, Rogers, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ty King |
|---|---|
| Address | 1109 W Chestnut St, Rogers, Arkansas |
| Phone Number | 4796338846 |
| Fax Number | 4796338890 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1063555415 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2023-08-28 |
Provider Mailing Address Detail
| Address | 1109 W Chestnut St |
|---|---|
| City | Rogers |
| State | Arkansas (AR) |
| Post Code | 727563529 |
| Phone Number | 4796338846 |
| Fax Number | 4796338890 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3457 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Ty King by the Centers for Medicare & Medicaid Services?
The Ty King has been issued the NPI (National Provider Identifier) 1063555415, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ty King?
The Ty King is physically situated at 1109 W Chestnut St, in the city of Rogers, state of AR, with the postal code 727563529.
What is Ty King's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ty King's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Ty King receive its 1063555415 assignment from the Centers for Medicare & Medicaid Services?
The Ty King was assigned its 1063555415 by the Centers for Medicare & Medicaid Services on 2007-02-15.
When was the information related to Ty King most recently updated or refreshed?
The details pertaining to the Ty King, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-28.
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