Organization
CARL KNOX DDS PLLC
Active
Other names
Carl L Knox DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL LARUE KNOX DDS (OWNER)
(253) 531-0638
Entity
Organization
Contact information
Practice address
14818 PACIFIC AVE, TACOMA, WA 98444
(253) 531-0638
(253) 536-7928
Mailing address
14818 PACIFIC AVE, TACOMA, WA 98444
(253) 531-0638
(253) 536-7928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5943
WA
Other
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
—
Enumeration date
03/06/2007
Last updated
06/13/2008
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