Provider Demographics
NPI:1356588313
Name:KNOTTS, CINDY JEAN (DDS)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:JEAN
Last Name:KNOTTS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3034 VALLEY AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2670
Mailing Address - Country:US
Mailing Address - Phone:540-665-0077
Mailing Address - Fax:
Practice Address - Street 1:3034 VALLEY AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2670
Practice Address - Country:US
Practice Address - Phone:540-665-0077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014117911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice