JEFFREY OWEN KNUTZEN, D.D.S., P.C.
NPI 1669609137
Dentist - Pediatric Dentistry in Joplin, MO

Q: What is Jeffrey Owen Knutzen, D.D.S., P.C.'s NPI number?

The NPI number for Jeffrey Owen Knutzen, D.D.S., P.C. is 1669609137. It was assigned to this organization in the NPPES registry on June 11, 2009.

Q: What is Jeffrey Owen Knutzen, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since June 11, 2009

1819 W 32ND ST, JOPLIN, MO 64804(417) 623-6202(417) 624-4521 Get Directions Write a Review

NPPES record last updated: June 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeffrey Owen Knutzen, D.d.s., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY OWEN KNUTZEN, D.D.S., P.C. (NPI 1669609137) is a healthcare organization registered as a pediatric dentistry in Joplin, Missouri and active in the NPI registry since June 2009. The organization lists Lisa S. Knutzen, Vice President, as its authorized official.

NPPES Registry Identity

NPI1669609137

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameJEFFREY OWEN KNUTZEN, D.D.S., P.C.

Location Address1819 W 32ND STJoplin, MO 64804-1528

Mailing Address1819 W 32nd StJoplin, MO 64804-1528 · (417) 623-6202 · Fax (417) 624-4521

Phone(417) 623-6202

Fax(417) 624-4521

Organization SubpartNo

Authorized OfficialLisa S. KnutzenVice President · (417) 623-6202

Enumeration DateJune 11, 2009

✔ NPI 1669609137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in MO · 014997

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1819 W 32ND ST, Joplin, MO 64804

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Other Identifiers 2

Medicaid4054863801KS

Medicaid402752018MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Owen Knutzen, D.D.S., P.C.'s NPI number?

The NPI number for Jeffrey Owen Knutzen, D.D.S., P.C. is 1669609137. It was assigned to this organization in the NPPES registry on June 11, 2009.

Where is Jeffrey Owen Knutzen, D.D.S., P.C. located?

Jeffrey Owen Knutzen, D.D.S., P.C. is located at 1819 W 32nd St, Joplin, MO 64804. The listed phone number is (417) 623-6202.

What is Jeffrey Owen Knutzen, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jeffrey Owen Knutzen, D.D.S., P.C. was last updated on June 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.