Knowlton, Anthony L

Knowlton, Anthony L is an sole proprietor health care provider with primary practice located at 317 S Union Ave , Pueblo CO 81003-3429. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Knowlton, Anthony L can be contacted via phone (719) 564-5833.

Contact Information

Primary practice address
317 S Union Ave Pueblo CO 81003-3429
Phone: (719) 564-5833
Fax: (719) 564-7097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X CO9242 Colorado
Dental Providers / General Practice 1223G0001X 9242 Colorado

Profile Details

NPI number 1861588683
LBN Legal business name Knowlton, Anthony L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jan 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861588683 NPPES
Colorado MEDICAID 72903554

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