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Contact Information

DOUGLAS J KNUDSON, DDS
5851 DULUTH STREET
SUITE 313
GOLDEN VALLEY, MN55422
 Phone: 763-542-8723
 Fax: 763-512-1942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DOUGLAS J KNUDSON · (Male)

NPI Number 1366503054
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # D7562
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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