DR. SAMUEL L. KING II (NPI# 1578637781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578637781 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL L. KING II |
| Credential | D.D.S. |
| Practice Address |
4844 Maccorkle Ave Sw Charleston WV 25309-1340 |
| Practice Telephone | 3047686931 |
| Practice Fax Number | 3047687881 |
| Mailing Telephone | 3047686931 |
| Mailing Fax Number | 3047687881 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2525 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0133562000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982158952 | Samuel Adams King | Dentist | 8814 S Hangman Valley Rd, Spokane, WA 99224-8405 | 2016-08-08 |
| 1174550867 | Samuel Jerome King | Family Medicine | 908 Bypass Rd, Pikeville, KY 41501-2602 | 2006-06-27 |
| 1750874798 | Samuel Anthony Ricardo King | Social Worker | 123 Nw 13th St Ste 222, Boca Raton, FL 33432-1619 | 2018-06-13 |
| 1295137909 | Samuel King | Specialist/Technologist | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2014-09-24 |
| 1235314998 | Samuel J. King II | Anesthesiology | 911 Bypass Road, Pikeville, KY 41501 | 2007-12-31 |
| 1346461969 | Samuel B. King | Dentist | 6460 Far Hills Avenue, Centerville, OH 45459 | 2007-05-01 |
| 1295800613 | Samuel Van King | Internal Medicine | 2664 St Matthews Road, Orangeburg, SC 29118-1344 | 2006-11-21 |
| 1881784247 | Samuel Thomas King Jr. | Social Worker | 110 Maple Street, Child Guidance Clinic, Springfield, MA 01105 | 2006-10-13 |
| Street Address |
4844 MACCORKLE AVE SW |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25309-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| 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 |
|---|---|---|---|---|
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1023627619 | Dental Professional of South Carolina, P.C. | Dentist | 702 Hopewell Dr, Charleston, SC 29492-7102 | 2020-07-29 |
| 1427673946 | Leslie Jordan Mcgarity | Dentist | 29 Bee Street Dc 271 Msc 507, Charleston, SC 29425-0001 | 2020-06-10 |
| 1629691449 | Tgd-west Ashley LLC | Dentist | 2048 Sam Rittenberg Blvd Ste 2, Charleston, SC 29407-4673 | 2020-05-27 |
| 1922650647 | Kinnara Vasamsetti Emmons | Dentist | 46 Queen St Apt B, Charleston, SC 29401-2805 | 2019-07-12 |
| 1932769189 | John Fitzgerald | Dentist | 26 Bee Street Msc 507 Dental Clinic Room 550, Charleston, SC 29425-0001 | 2019-06-19 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1114586054 | Charleston Dental Associates, LLC | Dentist | 915 Saint Andrews Blvd, Charleston, SC 29407-7138 | 2019-06-12 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on DR. SAMUEL L. KING II.
| 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.