Provider Demographics
NPI:1992938740
Name:KING, DOUGLAS HUNT (DDS)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:HUNT
Last Name:KING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E 40TH ST
Mailing Address - Street 2:
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-972-9299
Mailing Address - Fax:212-686-6086
Practice Address - Street 1:30 E 40TH ST
Practice Address - Street 2:(SUITE 100)
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-972-9299
Practice Address - Fax:212-686-6086
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031515122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist