KING DENTAL, PC – NPI #1558993758
Clinic/Center

KING DENTAL, PC is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1558993758 to KING DENTAL, PC on February 06, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Oct 13, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KING DENTAL, PC below.

NPI Profile for
KING DENTAL, PC

NPI Number
1558993758
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KING DENTAL, PC
Former Legal Business Name: KING DENTAL, PC
Primary location
3425 S KING DR
CHICAGO, IL 60616
Phone: (312) 313-9777 Fax: (312) 736-0867
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NISHU SHARMA
DENTIST
Phone: (312) 313-9777
Updated
Certification Date
Oct 13, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.