Healthcare Provider Details

I. General information

NPI: 1629556097
Provider Name (Legal Business Name): STEVEN MICHAEL KNAPP DMD, MSD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2018
Last Update Date: 02/07/2026
Certification Date: 02/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 OLD HIGHWAY 431 STE C
OWENS CROSS ROADS AL
35763-9255
US

IV. Provider business mailing address

131 OLD HIGHWAY 431 STE C
OWENS CROSS ROADS AL
35763-9255
US

V. Phone/Fax

Practice location:
  • Phone: 256-532-8900
  • Fax: 256-808-3965
Mailing address:
  • Phone: 256-532-8900
  • Fax: 256-808-3965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number2018025790
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberD.7000-C1
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number26636
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: