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Contact Information

RANDY L KNUTZEN, DDS
2311 YORKSHIRE DR
BROOKINGS, SD57006
 Phone: 605-692-9463
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RANDY L KNUTZEN · (Male)

NPI # 1215909692
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # D8104
  • SD License # M391
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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