Dr. Michael Enon King
Dentist - General Practice
16689 River Ridge Blvd
Woodbridge
, Virginia 22191-4630
Dr. Michael Enon King
Dentist - General Practice
16689 River Ridge Blvd
Woodbridge
, Virginia 22191-4630
(703) 221-2788
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Michael Enon King
- 16689 River Ridge Blvd
- Woodbridge, VA
- Zip : 22191-4630
- Fax : (703) 221-2788
- Phone : (703) 221-9759
Second Address
- Dr. Michael Enon King
- 16689 River Ridge Blvd
- Woodbridge, VA
- Zip : 22191-4630
- Fax : (703) 221-2788
- Phone : (703) 221-9759
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 0401008593 | VA |
| Y | 213EG0000X | General Practice | 0401008593 | VA |
National Provider Identifier
| NPI | 1003002361 |
|---|---|
| Provider Name | Dr. Michael Enon King |
| First Address | Woodbridge, VA 22191-4630 |
| Second Address | Woodbridge, VA 22191-4630 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2007 |
| Last Update Date | 20/09/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.