Provider Demographics
NPI:1023283959
Name:KING, WILLIAM GREEN III (DMD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GREEN
Last Name:KING
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 N DEAN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-4300
Mailing Address - Country:US
Mailing Address - Phone:334-821-3231
Mailing Address - Fax:
Practice Address - Street 1:754 N DEAN RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-4300
Practice Address - Country:US
Practice Address - Phone:334-821-3231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL5339122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist