Ordie H. King JR.
Oral and Maxillofacial Pathology
6111 Vollmer Ln
Godfrey
, Illinois 62035-1062
Ordie H. King JR.
Oral and Maxillofacial Pathology
6111 Vollmer Ln
Godfrey
, Illinois 62035-1062
(618) 466-3410
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Ordie H. King JR.
- Po Box 1166
- Alton, IL
- Zip : 62002-1166
- Fax : (618) 466-3410
- Phone : (618) 466-3645
Second Address
- Ordie H. King JR.
- 6111 Vollmer Ln
- Godfrey, IL
- Zip : 62035-1062
- Fax : (618) 466-3410
- Phone : (618) 466-3645
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | IL |
National Provider Identifier
| NPI | 1700920113 |
|---|---|
| Provider Name | Ordie H. King JR. |
| First Address | Alton, IL 62002-1166 |
| Second Address | Godfrey, IL 62035-1062 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 67299 | (02) | IL |
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.