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Contact Information

MITCHELL J KNUDSEN, DDS
1108 W 7TH ST
WAYNE, NE68787
 Phone: 402-375-2889
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MITCHELL J KNUDSEN · (Male)

NPI # 1710335906
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/27/2016
Last updated 04/25/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 7295
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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