# KNUDSEN DENTISTRY, P.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023061538
- **Authorized official:** DR. ERIC WILLIAM KNUDSEN D.D.S. (MEMBER, KNUDSEN DENTISTRY, PLC)
- **Authorized official phone:** (906) 786-3936

## Contact information

- **Practice address:** 1830 LUDINGTON ST, ESCANABA, MI 49829-2739
- **Practice address phone:** (906) 786-3936
- **Mailing address:** 1830 LUDINGTON ST, ESCANABA, MI 49829-2739
- **Mailing address phone:** (906) 786-3936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901009431 | MI | — |
| 1223G0001X | General Practice Dentistry | 2901016706 | MI | Yes |
| 1223G0001X | General Practice Dentistry | 2901017052 | MI | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 08/22/2020