Larry D. Knutson, D.D.S., P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

11004 Issued in TX

Legal business name

LARRY D. KNUTSON, D.D.S., P.A.

Practice address

2901 Bill Owens Pkwy
Longview, TX 75605-1601

Phone

(903) 759-0765

Fax

(903) 759-0016

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larry Dean Knutson, D.D.S.NPI 1245366160

Title

Owner

Phone

(903) 759-0765

Specialties & licenses 1

Addresses

Practitioners 1

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

• Larry Dean Knutson, D.D.S.

  • General Practice Dentistry
  • Longview, TX
  • NPI 1245366160
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720207533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BILL OWENS PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051601",
            "telephone_number": "903-759-0765",
            "fax_number": "903-759-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BILL OWENS PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051601",
            "telephone_number": "903-759-0765",
            "fax_number": "903-759-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY D. KNUTSON, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-759-0765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "11004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donny Gwen Lancaster
• Alexa Maryn Land
• Landmark Medical, Inc.
• Michael D Langford, M.D.
• Kory D Langley, LPC
• Larry W Huffman MD
• David Larsen, DO
• Jennifer Larue, AGACNP-BC
• Late Bloomers, LLC
• Erica Lattin

• Dentist in Longview, TX
• Providers in Longview, TX by specialty
• Dentist in Texas

• 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.