Greencastle Hometown Dental Dennis M Knuth DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

12011336 Issued in IN

Legal business name

GREENCASTLE HOMETOWN DENTAL DENNIS M KNUTH DDS LLC

Practice address

1113 Indianapolis Rd
Greencastle, IN 46135-2408

Phone

(765) 653-4081

NPI assigned

Nov 17, 2016

Last updated

Nov 17, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dennis M Knuth, D.D.S.NPI 1912135062

Title

Owner

Phone

(765) 653-4081

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis M. Knuth, DDS

  • General Practice Dentistry
  • Greencastle, IN
  • NPI 1912135062
  NPD (past) Authorized official
• Tess Lorraine Funke, DMD

  • General Practice Dentistry
  • Greencastle, IN
  • NPI 1972009645
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1013459304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 INDIANAPOLIS RD",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352408",
            "telephone_number": "765-653-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 INDIANAPOLIS RD",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352408",
            "telephone_number": "765-653-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENCASTLE HOMETOWN DENTAL DENNIS M KNUTH DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "KNUTH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-653-4081",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly S Grande, LMFT
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• Greencastle Family Dental LLC
• Greencastle Fire Department
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• Greencastle Pediatric Dentistry, P.C.
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• Jessica Gregory, DPT
• Tina Marie Grzesiek, MED, LMHC

• Dentist in Greencastle, IN
• Providers in Greencastle, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.