Knudson, Kent Gordon
Knudson, Kent Gordon is an individual health care provider with primary practice located at 1711 Doolittle Ave , Fort Worth TX 76127. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Knudson, Kent Gordon can be contacted via phone (817) 782-5639.Contact Information
Primary practice address
1711 Doolittle Ave
Fort Worth TX 76127
Phone: (817) 782-5639
Fax: (817) 782-5720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2664 | South Carolina |
| Dental Providers / General Practice | 1223G0001X | 18333 | Texas |
Profile Details
| NPI number | 1194796532 |
|---|---|
| LBN Legal business name | Knudson, Kent Gordon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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