Provider Demographics
NPI:1285055848
Name:KNOWLES, SMITH & ASSOCIATES, LLP
Entity type:Organization
Organization Name:KNOWLES, SMITH & ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:FIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-485-7070
Mailing Address - Street 1:2028 LITHO PL STE 300
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2538
Mailing Address - Country:US
Mailing Address - Phone:910-485-7070
Mailing Address - Fax:910-485-1151
Practice Address - Street 1:1357 WALTER REED RD
Practice Address - Street 2:SUITE 101
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4416
Practice Address - Country:US
Practice Address - Phone:910-483-2700
Practice Address - Fax:910-484-3352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC74461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty