Provider Demographics
NPI:1699927665
Name:KNAUP, CAROL
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:
Last Name:KNAUP
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:KNAUP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS,MSD
Mailing Address - Street 1:543 EUREKA WAY
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382
Mailing Address - Country:US
Mailing Address - Phone:360-683-3787
Mailing Address - Fax:
Practice Address - Street 1:543 EUREKA WAY
Practice Address - Street 2:SEQUIM VALLEY ORTHODONTICS
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382
Practice Address - Country:US
Practice Address - Phone:360-683-3787
Practice Address - Fax:360-683-1370
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA68091223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics