Provider Demographics
NPI:1356139836
Name:KNOB NOSTER FAMILY DENTISTRY
Entity type:Organization
Organization Name:KNOB NOSTER FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:CALDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-678-7410
Mailing Address - Street 1:204 N ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:KNOB NOSTER
Mailing Address - State:MO
Mailing Address - Zip Code:65336-1304
Mailing Address - Country:US
Mailing Address - Phone:660-312-3122
Mailing Address - Fax:
Practice Address - Street 1:204 N ADAMS AVE
Practice Address - Street 2:
Practice Address - City:KNOB NOSTER
Practice Address - State:MO
Practice Address - Zip Code:65336-1304
Practice Address - Country:US
Practice Address - Phone:660-312-3122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental