Provider Demographics
NPI:1376718742
Name:KNECHTEL, DANIEL PAUL
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PAUL
Last Name:KNECHTEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 ELKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2247
Mailing Address - Country:US
Mailing Address - Phone:828-575-2345
Mailing Address - Fax:828-575-2346
Practice Address - Street 1:218 ELKWOOD AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2247
Practice Address - Country:US
Practice Address - Phone:828-575-2345
Practice Address - Fax:828-575-2346
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC76221223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89902XCMedicaid