Individual
MICHAEL J KNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
115 E 2ND ST, OGALLALA, NE 69153-2533
(308) 284-2961
(308) 284-0845
Mailing address
115 E 2ND ST, OGALLALA, NE 69153-2533
(308) 284-2961
(308) 284-0845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5890
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05737
BLUE CROSS BLUE SHIELD
NE
Enumeration date
10/17/2005
Last updated
08/12/2011
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