# CARL KNOX DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carl L Knox DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487784013
- **Authorized official:** DR. CARL LARUE KNOX DDS (OWNER)
- **Authorized official phone:** (253) 531-0638

## Contact information

- **Practice address:** 14818 PACIFIC AVE, TACOMA, WA 98444
- **Practice address phone:** (253) 531-0638
- **Practice address fax:** (253) 536-7928
- **Mailing address:** 14818 PACIFIC AVE, TACOMA, WA 98444
- **Mailing address phone:** (253) 531-0638
- **Mailing address fax:** (253) 536-7928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5943 | WA | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 06/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0143 | WASHINGTON DENTAL SERVICE | — |
| 01 | — | 129840361 | AMERICAN DENTAL ASSOCIATI | — |
| 05 | — | 5092507 | — | WA |
| 01 | — | 614482 | UNITED CONCORDIA INSURANC | — |
| 01 | — | KN7070 | REGENCE BLUE CROSS BLUE S | — |