OrganizationActive
Jack D. King, DDS, PA
NPI 1407129877 · Dental Clinic/Center · Statesville, NC
Jack D. King, DDS, PA is a Dental Clinic/Center organization in Statesville, NC (NPI 1407129877).
Provider details
- NPI number
- 1407129877
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack King, President(704) 873-1968
- License
- 5157 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1706 Davie Ave
Suite B
Statesville, NC 28677-3589
Phone: (704) 873-1968
Fax: (704) 872-5841
Street-level locationGet directions
Mailing address
1706 Davie Ave
Statesville, NC 28677-3589
Registry dates
- Enumerated
- 2012-02-16
- Last updated
- 2012-02-16
Frequently asked questions
- What is Jack D. King, DDS, PA's NPI number?
- Jack D. King, DDS, PA's National Provider Identifier (NPI) is 1407129877, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack D. King, DDS, PA?
- Jack D. King, DDS, PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jack D. King, DDS, PA located?
- Jack D. King, DDS, PA's practice location on file with NPPES is 1706 Davie Ave, Statesville, NC 28677-3589.
- What is Jack D. King, DDS, PA's phone number?
- The practice phone number listed in the NPPES registry for Jack D. King, DDS, PA is (704) 873-1968.
- Who is the authorized official for Jack D. King, DDS, PA?
- The authorized official listed on Jack D. King, DDS, PA's NPPES record is Jack King, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack D. King, DDS, PA's NPI active?
- Yes — Jack D. King, DDS, PA's NPI (1407129877) is active in the NPPES registry as of the last update on 2012-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.