Provider Demographics
NPI:1720083413
Name:KNOPF, DAVID ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
Last Name:KNOPF
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 1:300 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
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA90201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice