Provider Demographics
NPI:1912121088
Name:KNOP, DAVID ARNOLD II (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARNOLD
Last Name:KNOP
Suffix:II
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 1:2122 SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47904-2932
Mailing Address - Country:US
Mailing Address - Phone:765-447-2456
Mailing Address - Fax:765-449-1356
Practice Address - Street 1:2122 SCOTT ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47904-2932
Practice Address - Country:US
Practice Address - Phone:765-447-2456
Practice Address - Fax:765-449-1356
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010499A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1496367OtherUNITED CONCORDIA
IN200444470Medicaid
IN43000250AOtherIV SEDATION
IN43000250AOtherIV SEDATION