Jeffrey 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.
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.