Knudsen Dentistry, P.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016706 Issued in MI

Legal business name

KNUDSEN DENTISTRY, P.L.C.

Practice address

1830 Ludington St
Escanaba, MI 49829-2739

Phone

(906) 786-3936

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric William Knudsen, D.D.S.NPI 1568466894

Title

Member, Knudsen Dentistry, PLC

Phone

(906) 786-3936

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric William Knudsen, D.D.S.

  • General Practice Dentistry
  • Escanaba, MI
  • NPI 1568466894
  NPD (past) Authorized official
• Elizabeth Ann Knudsen, D.D.S.

  • General Practice Dentistry
  • Escanaba, MI
  • NPI 1225170483
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023061538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498292739",
            "telephone_number": "906-786-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498292739",
            "telephone_number": "906-786-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNUDSEN DENTISTRY, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNUDSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER, KNUDSEN DENTISTRY, PLC",
        "authorized_official_telephone_number": "906-786-3936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016706",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017052",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901009431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen S Kleikamp, LMSW
• Cassandra Ann Kleiman, PTA
• John A Klim, DO
• Linda Klope, R.D. C.D.E.
• Lisa Ann Knauf-Jorasz, DO
• Elizabeth Ann Knudsen, D.D.S.
• Eric William Knudsen, D.D.S.
• Darrell J Kohli, MD
• Laura Lise Kolak
• Carol Ann Kolinsky, MD

• General Practice Dentistry in Escanaba, MI
• Providers in Escanaba, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.