Jeffrey Owen Knutzen, D.d.s., P.c.
Pediatric Dental Clinic
1819 W 32nd St, Joplin
Missouri, 64804-1528
417-623-6202 417-624-4521
Maps & DirectionsJeffrey Owen Knutzen, D.d.s., P.c. is a Pediatric Dental Clinic in Joplin, Missouri. It is located at 1819 W 32nd St, Joplin, MO and its contact number is 417-623-6202. The authorized person for Jeffrey Owen Knutzen, D.d.s., P.c. is Mrs. Lisa S. Knutzen
who is Vice President of the clinic and their contact number is 417-623-6202. The primary license number for Jeffrey Owen Knutzen, D.d.s., P.c. is 014997 (Pediatric Dentistry) in Missouri.
Jeffrey Owen Knutzen, D.d.s., P.c. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Jeffrey Owen Knutzen, D.d.s., P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jeffrey Owen Knutzen, D.d.s., P.c. |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1819 W 32nd St, Joplin,
Missouri, 64804-1528 |
| Phone: | 417-623-6202 |
| Fax: | 417-624-4521 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Lisa S. Knutzen |
| Position: | Vice President |
| Contact Number: | 417-623-6202 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jeffrey Owen Knutzen, D.d.s., P.c. clinic are as mentioned below.
| NPI Number: | 1669609137 |
| NPI Enumeration Date: | 11 Jun, 2009 |
| NPI Last Update On: | 11 Jun, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey Owen Knutzen, D.d.s., P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 014997 | Missouri | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4054863801 | Medicaid | Kansas | |
| 402752018 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jeffrey Owen Knutzen, D.d.s., P.c.
1819 W 32nd St,
Joplin, Missouri |
| Zip: | 64804-1528 |
| Phone Number: | 417-623-6202 |
| Fax Number: | 417-624-4521 |
Patients can reach Jeffrey Owen Knutzen, D.d.s., P.c. at
1819 W 32nd St, Joplin, Missouri or can
call to book an appointment on 417-623-6202.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.