Provider Demographics
NPI:1033663117
Name:DAVID A KNOPF DDS PLLC
Entity Type:Organization
Organization Name:DAVID A KNOPF DDS PLLC
Other - Org Name:ABELLA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:KNOPF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-709-2468
Mailing Address - Street 1:300 110TH AVE NE
Mailing Address - Street 2:STE 1-01
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5872
Mailing Address - Country:US
Mailing Address - Phone:425-709-2468
Mailing Address - Fax:425-709-7040
Practice Address - Street 1:300 110TH AVE NE
Practice Address - Street 2:STE 1-01
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5872
Practice Address - Country:US
Practice Address - Phone:425-709-2468
Practice Address - Fax:425-709-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-07
Last Update Date:2016-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00009020261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental