institution
Jeffrey Owen Knutzen, D.d.s., P.c.
Pediatric Dentist in Joplin, Missouri
NPI 1669609137

Jeffrey Owen Knutzen, D.d.s., P.c. is a Pediatric Dentist based in Joplin, MO and is specialized in Pediatric Dentistry. Jeffrey Owen Knutzen, D.d.s., P.c. practices in Joplin, MO. The NPI Number for Jeffrey Owen Knutzen, D.d.s., P.c. is 1669609137 and holds a License No. 014997 (Missouri).

The current practice location address for Jeffrey Owen Knutzen, D.d.s., P.c. is 1819 W 32Nd St, Joplin, MO and can be reached out via phone at 417-623-6202 and via fax at 417-624-4521. You can also correspond with Jeffrey Owen Knutzen, D.d.s., P.c. through the mailing address at 1819 W 32ND ST, JOPLIN, MO - 64804-1528 (mailing address contact number: 417-623-6202).

Location: 1819 W 32Nd St, Joplin, MO, 64804-1528
institution
Provider Profile Details
NPI Number
1669609137
Provider Name
Jeffrey Owen Knutzen, D.d.s., P.c.
Credential
Provider Entity Type
Organization
Address
1819 W 32Nd St, Joplin, MO, 64804-1528
Phone Number
417-623-6202
Fax Number
417-624-4521
Provider Enumeration Date
06/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4054863801 05 KS
402752018 05 MO
institution
Provider Business Practice Location Address Details
Address
1819 W 32Nd St
City
State
Zip
64804-1528
Phone Number
417-623-6202
Fax Number
417-624-4521
person
Provider Business Mailing Address Details
Address
1819 W 32Nd St
City
State
Zip
64804-1528
Phone Number
417-623-6202
Fax Number
417-624-4521
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
014997 (Missouri)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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