Individual
DONNA C KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9454
Mailing address
812 PINE VALLEY CT, WEDDINGTON, NC 28104-7414
(757) 753-6086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8025
NC
1223G0001X
General Practice Dentistry
Primary
051750
NY
1223G0001X
General Practice Dentistry
8025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901858
—
NC
Enumeration date
07/11/2006
Last updated
05/16/2022
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