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Deactivated NPI 1821102625 Deactivated / Inactive NPI Male Practitioner

Dr. Mitchell D. King , DDS

Dentist - General Practice • Conway, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mitchell King has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2006
NPI Deactivation Date July 06, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell King, DDS was a registered Dentist - General Practice practicing in Conway, AR. Throughout an active medical career spanning 16 years, Dr. King provided care at the practice location at 405 HOGAN LN STE 1 until profile deactivation on 2022-07-06.

Practice Location & Contact Primary Location

Practice Address

405 Hogan Ln Ste 1

Conway, AR 720348202

Telephone 5013360300
Fax 5013360545
Associated Practice Facility / Clinic
🏢 King Family Dental Care, P.a. Facility NPI 1356083034

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Conway, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
37 Specialists

Practicing in Conway, AR (909 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AR 3213

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1033940309

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 06, 2022

Record deactivated on July 06, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 405 HOGAN LN STE 1, CONWAY, AR 720348202 (Tel: 5013360300)

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Updated Business Mailing Address July 08, 2007

Registered at 1520 AMELIA DR, CONWAY, AR 720343346 (Tel: 5019083108)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MITCHELL KING, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3213 in AR)

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Initial NPI Registration & Enumeration August 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: 1821102625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: July 08, 2007
Deactivation Date: July 06, 2022

Mailing Address

1520 Amelia Dr

Conway, AR 720343346

Phone: 5019083108

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.