# KNOWLTON & MCFALL DENTISTRY, PLLC

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

## Provider details

- **NPI number:** 1720130230
- **Authorized official:** DR. ANDREW H. KNOWLTON DDS (CO-OWNER)
- **Authorized official phone:** (616) 887-7389

## Contact information

- **Practice address:** 9161 SPARTA AVE NW, SPARTA, MI 49345-9405
- **Practice address phone:** (616) 887-7389
- **Practice address fax:** (616) 887-7425
- **Mailing address:** PO BOX 100, SPARTA, MI 49345-0100
- **Mailing address phone:** (616) 887-7389
- **Mailing address fax:** (616) 887-7425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 17679 | MI | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/22/2020