Ordie H. King JR., D.D.S., PH.D.

NPI #1700920113 in Godfrey, Illinois

Provider Information

NPI Number: 1700920113
Entity Type: Individual
Name: Ordie H. King JR., D.D.S., PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Pathology
Credential: D.D.S., PH.D.
Enumeration Date: Feb 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6111 VOLLMER LN
City: Godfrey
State: Illinois
ZIP Code: 62035-1062
Phone: (618) 466-3645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology	1223P0106X	Primary

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