DR. CHARLES CLINTON KING JR. (NPI# 1194894105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194894105 |
| Entity Type | Individual |
| Full Name | DR. CHARLES CLINTON KING JR. |
| Credential | DMD |
| Practice Address |
915 W Highland Ave Albany GA 31701-2735 |
| Practice Telephone | 2294350677 |
| Practice Fax Number | 2294390533 |
| Mailing Telephone | 2294350677 |
| Mailing Fax Number | 2294390533 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2010-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN013147 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000881834D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700425949 | Charles George King Jr. | Massage Therapist | 6223 N 20th Dr, Phoenix, AZ 85015-1516 | 2020-01-06 |
| 1639727241 | Charles Michael King | Counselor | 1470 S 430 W, Orem, UT 84058-7313 | 2019-08-27 |
| 1255797965 | Charles King | Counselor | 3746 Government St Ste 8, Alexandria, LA 71302-3252 | 2016-01-11 |
| 1053658799 | Charles King | Pharmacist | 2067 North Atlantic Ave, Cocoa Beach, FL 32931 | 2013-01-15 |
| 1265728653 | Charles Ross King | Family Medicine | 2015 Jackson St., Anderson, IN 46016-4339 | 2011-06-23 |
| 1003110685 | Charles Harding King | Internal Medicine | 5550 Vanture Drive, Cuyahoga County Board of Health, Parma, OH 44130-9315 | 2010-12-22 |
| 1073813291 | Charles Russell King | Prosthetist | 52 Marion St, Cumberland, MD 21502-2548 | 2010-10-22 |
| 1013146182 | Charles W. King | Physical Therapist | 19 Malavear Ct, Pacifica, CA 94044-4249 | 2009-07-09 |
| 1316163074 | Charles J King | Dentist | 2534 Willow Street Pike N, Willow Street, PA 17584-9585 | 2007-04-18 |
| 1982767372 | Charles Phillip King Jr. | Dentist | 803 Brushy Creek Rd, Easley, SC 29642-2203 | 2006-12-18 |
| Street Address |
915 W HIGHLAND AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730351040 | King Family Dental Care, PC | Dentist | 915 W Highland Ave, Albany, GA 31701-2735 | 2008-03-26 |
| 1295804037 | Charles Clinton King Sr. | Dentist | 915 W Highland Ave, Albany, GA 31701-2735 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245860345 | Hickory St LLC | Dentist | 637 Hickory St Nw Ste 110, Albany, OR 97321-1761 | 2020-01-17 |
| 1851945372 | Alaine Tay Shomali Prevish | Dentist | 409 1st Ave Nw, Albany, OR 97321-2227 | 2019-08-01 |
| 1053971028 | Richard Randall Mcneely | Dentist | 1725 Dawson Rd, Albany, GA 31707-3362 | 2019-06-20 |
| 1417438102 | David Levine | Dentist | 888 Western Ave, Albany, NY 12203-2532 | 2018-08-22 |
| 1417440223 | Megan Raiber | Dentist | 360 Railroad Ave, Albany, MN 56307-6201 | 2018-06-07 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1417290925 | Alexander Q Steres | Dentist | 1873 Western Ave Ste 200, Albany, NY 12203-5028 | 2013-04-03 |
| 1932447620 | Tina Jacob | Dentist | 5 Pine West Plz Ste 504, Albany, NY 12205-5587 | 2013-01-30 |
| 1669721452 | Centre' for Cosmetic Dentistry | Dentist | 2824 Gillionville Rd, Albany, GA 31721-2904 | 2012-09-07 |
| 1316222896 | Michael Jack Goger | Dentist | 1215 Hill St Se, Albany, OR 97322-3238 | 2011-10-17 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on DR. CHARLES CLINTON KING JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.