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Kristen Marie Knecht

Dentist

Dental Providers

263 Farmington Ave, Farmington, CT 06030-0001

(860) 679-2000 (225) 268-2350

PECOS Enrollment

This provider is enrolled in PECOS as KRISTEN KNECHT.

Based on the most recent information from CMS, provider Kristen Marie Knecht is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1073946323
Provider Type
Individual
Full Name
Knecht, Kristen Marie
Title
Dr.
Credential
D.D.S.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/9/2013
Last Updated
6/10/2016

Contact Information

Practice Location

263 Farmington Ave, Farmington, CT 06030-0001

(860) 679-2000

Unlisted Fax

Mailing Location

299 Colt Highway, 313, Farmington, CT 06032-1721

(225) 268-2350

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223X0400X Primary	Description Dentist Dental Providers	License 31812 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kristen Marie Knecht

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Uribe, Flavio

Faedo, Volmir Antonio

Upadhyay, Madhur

Chandhoke, Taranpreet

Banankhah, Sina

Dutra, Eliane Hermes

Azami, Niloufar

Nanda, Ravindra

Yadav, Sumit

Grover, Shaifali