# KNOP FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1467894949
- **Authorized official:** KELLY MEEK (BUSINESS MANAGER)
- **Authorized official phone:** (765) 337-2167

## Contact information

- **Practice address:** 709 S 18TH ST, STE E, LAFAYETTE, IN 47905-1575
- **Practice address phone:** (765) 426-0149
- **Mailing address:** 709 S 18TH ST, STE E, LAFAYETTE, IN 47905-1575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12010499A | IN | Yes |

## Other

- **Enumeration date:** 07/24/2013
- **Last updated:** 07/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200444470 | — | IN |