NPI 1063555415

Ty King, DDS

Practitioner Dentist Rogers, AR

Practice location

Address: 1109 W Chestnut St, Rogers, AR 72756-3529
Phone: (479) 633-8846
Fax: (479) 633-8890

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 3457 (AR)

Other Dentist providers in Arkansas →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 3457 (AR)

Registry record

NPI: 1063555415
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2007
Record last updated: 28 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.