Organization Active NPI

Richard D. Knowlton, DMD

Doing business as Knowlton Dental Associates

  • General Practice Dentistry
  • Elizabethtown, PA
National Provider Identifier
1083128003
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHARD D. KNOWLTON, DMD
Doing business as
Knowlton Dental Associates
Practice address
102 W High St
Elizabethtown, PA 17022-2019
Phone
(717) 367-1560
Fax
(717) 367-8856
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Dr. Richard D Knowlton Jr., DMD, MAGD, FICO
Title
Owner
Phone
(717) 367-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

102 W High St
Elizabethtown, PA 17022-2019

Mailing address

102 West High Street
Elizabethtown, PA 17022-2091
Phone (717) 367-1560

Other names 1

  • Knowlton Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

102 W High St
Elizabethtown, PA 17022
Phone (717) 367-1560

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1083128003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WEST HIGH STREET",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222091",
            "telephone_number": "717-367-1560",
            "fax_number": "717-367-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W HIGH ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222019",
            "telephone_number": "717-367-1560",
            "fax_number": "717-367-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D. KNOWLTON, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "KNOWLTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-367-1560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD, MAGD, FICO"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knowlton Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.