Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790740512 Individual Practitioner Female Practitioner

Dr. Shellese A King , DDS

Dentist - General Practice • Casa Grande, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Shellese King, DDS is a registered healthcare professional specializing in Dentist - General Practice in Casa Grande, AZ. Practice services are available at 907 E COTTONWOOD LN STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

907 E Cottonwood Ln Ste 1

Casa Grande, AZ 851222226

Telephone 5208765431
Fax 5208764875
Associated Practice Facility / Clinic
🏢 Kid-1 Pediatric Dentistry Facility NPI 1568689776

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Casa Grande, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
25 Specialists

Practicing in Casa Grande, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D6296

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
919871 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Gregory Giordano , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1013091529

Doctor of Dental Medicine

Dr. James Jennings , DDS

Dentist - Pediatric Dentistry

NPI 1083735211

Doctor of Dental Surgery

Dr. Cavelle Melbourne , DMD

Dentist - Pediatric Dentistry

NPI 1396962882

Doctor of Dental Medicine

Dr. Maureen Malingkas , DMD

Dentist - Pediatric Dentistry

NPI 1568957199

Doctor of Dental Medicine

Dr. John Neves , DMD

Dentist - Pediatric Dentistry

NPI 1952525990

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 23, 2020

Registered at 907 E COTTONWOOD LN STE 1, CASA GRANDE, AZ 851222226 (Tel: 5208765431)

📍
Updated Business Mailing Address June 23, 2020

Registered at 907 E COTTONWOOD LN STE 1, CASA GRANDE, AZ 851222226 (Tel: 5208765431)

NPI Profile Active December 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2013

Registered at 829 E UNIVERSITY DR, MESA, AZ 852038042 (Tel: 4806558687)

📍
Updated Business Mailing Address December 12, 2013

Registered at 829 E UNIVERSITY DR, MESA, AZ 852038042 (Tel: 4806558687)

👤
Provider Name / Credentials Updated December 12, 2013

Recorded as SHELLESE KING, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2013

Dentist (License #D6296 in AZ)

🟢
Initial NPI Registration & Enumeration April 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790740512
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2006
Last Update: June 23, 2020
Sole Proprietor: No

Mailing Address

907 E Cottonwood Ln Ste 1

Casa Grande, AZ 851222226

Phone: 5208765431

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.