Provider Demographics
NPI:1629205612
Name:KNOX, STEPHEN FOSTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:FOSTER
Last Name:KNOX
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4537 SILVER DALE CT
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-9039
Mailing Address - Country:US
Mailing Address - Phone:405-596-8994
Mailing Address - Fax:918-832-1124
Practice Address - Street 1:755 S PERRY ST
Practice Address - Street 2:STE 200
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1901
Practice Address - Country:US
Practice Address - Phone:405-596-8994
Practice Address - Fax:918-832-1124
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6108122300000X
CODEN.00202789122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist