Chandra Knotts, DDS

Individual provider Active NPI General Practice Dentistry · Davis, WV

NPI 1003068396 · NPPES record last updated Oct 17, 2008

Key facts

NPI
1003068396
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
WV 3838 (WV)
Practice address
217 William Ave
Davis, WV 26260-0217
Phone
(304) 259-5225
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
WV 3838WVMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X WV 3838 WV Yes

Addresses

Primary practice location

217 William Ave
Davis, WV 26260-0217

Mailing address

PO Box 217
340 William Ave., Ste 2
Davis, WV 26260-0217
Phone (304) 259-5225

Other providers in Davis, WV

All providers in Davis, WV · General Practice Dentistry in West Virginia

Sources for this page

Verify at the official NPI Registry.