| Carl Knox Dds Pllc | |
|
14818 Pacific Ave Tacoma WA 98444 | |
| (253) 531-0638 | |
| (253) 536-7928 |
| Full Name | Carl Knox Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 14818 Pacific Ave, Tacoma, Washington |
| Authorized Official Name and Position | Carl Larue Knox (OWNER) |
| Authorized Official Contact | 2535310638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Knox Dds Pllc 14818 Pacific Ave Tacoma WA 98444 Ph: (253) 531-0638 | Carl Knox Dds Pllc 14818 Pacific Ave Tacoma WA 98444 Ph: (253) 531-0638 |
| NPI Number | 1487784013 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487784013 | NPI | - | NPPES |
| 0143 | Other | WASHINGTON DENTAL SERVICE | |
| 614482 | Other | UNITED CONCORDIA INSURANC | |
| 129840361 | Other | AMERICAN DENTAL ASSOCIATI | |
| 5092507 | Medicaid | WA | |
| KN7070 | Other | REGENCE BLUE CROSS BLUE S |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5943 (Washington) | Primary |
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