Organization
KNUTSON & HUXFORD DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J STEWART CDA (OFFICE ADMINISTRATOR)
(507) 451-2600
Entity
Organization
Contact information
Practice address
315 18TH ST SE, OWATONNA, MN 55060-4005
(507) 451-2600
(507) 444-0560
Mailing address
315 18TH ST SE, OWATONNA, MN 55060-4005
(507) 451-2600
(507) 444-0560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10720
MN
122300000X
Dentist
11401
MN
122300000X
Dentist
Primary
8498
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104814029
NATIONAL PROVIDER IDENTIF
MN
01
—
1376550178
NATIONAL PROVIDER IDENTI
MN
01
—
1629085741
NATIONAL PROVIDER IDENTIF
MN
Enumeration date
11/13/2006
Last updated
08/22/2020
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