Dr. James Knutson

Organization Active NPI Dentist · Mora, MN

NPI 1487095220 · NPPES record last updated Jul 9, 2013

Key facts

NPI
1487095220
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
8314 (MN)
Legal business name
DR. JAMES KNUTSON
Practice address
119 Lake St S
Suite 1
Mora, MN 55051-1576
Phone
(320) 679-2435
Fax
(320) 679-0401
NPI assigned
Jul 9, 2013
Organization subpart
No

Authorized official

Name
Dr. James H Knutson, DDS
Title
DDS
Phone
(320) 679-2435

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X 8314 MN Yes
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X D11152 MN

Addresses

Primary practice location

119 Lake St S
Suite 1
Mora, MN 55051-1576

Mailing address

119 Lake St S
Suite 1
Mora, MN 55051-1576
Phone (320) 679-2435

Other providers in Mora, MN

All providers in Mora, MN · Dentist in Minnesota

Sources for this page

Verify at the official NPI Registry.