Provider Demographics
NPI:1952753154
Name:NORMAN D. KNOWLES, D.M.D., P.A.
Entity Type:Organization
Organization Name:NORMAN D. KNOWLES, D.M.D., P.A.
Other - Org Name:ART OF SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:KNOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:772-778-0954
Mailing Address - Street 1:3760 20TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-2464
Mailing Address - Country:US
Mailing Address - Phone:772-778-0954
Mailing Address - Fax:772-778-0955
Practice Address - Street 1:3760 20TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-2464
Practice Address - Country:US
Practice Address - Phone:772-778-0954
Practice Address - Fax:772-778-0955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty