MEDICARE: DR. CYNTHIA ANNE KNOP DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	8843	TN

General Provider Information

NPI Number	:	1740435635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA ANNE KNOP DDS

Provider Business Mailing Address
First Line	:	2055 E ANDREW JOHNSON HWY
Second Line	:	SUITE 3
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-4633
Country	:	US
Telephone Number	:	423-639-2176
Fax Number	:	423-639-2177

Provider Business Practice Location Address
First Line	:	2055 E ANDREW JOHNSON HWY
Second Line	:	SUITE 3
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-4633
Country	:	US
Telephone Number	:	423-639-2176
Fax Number	:	423-639-2177

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2008
Last Update Date	:	11/19/2008

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