# ASPEN DENTAL PARKSIDE PC

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

## Provider details

- **NPI number:** 1821256983
- **Authorized official:** DR. DAVID A KNOP II DDS (DENTIST/OWNER)
- **Authorized official phone:** (765) 447-2456

## Contact information

- **Practice address:** 2122 SCOTT ST, LAFAYETTE, IN 47904-2932
- **Practice address phone:** (765) 447-2456
- **Practice address fax:** (765) 449-1356
- **Mailing address:** 2122 SCOTT ST, LAFAYETTE, IN 47904-2932
- **Mailing address phone:** (765) 447-2456
- **Mailing address fax:** (765) 449-1356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 05/27/2008