Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104356542 Individual Practitioner Female Practitioner

Dr. Kaitlin Knutson , DDS

Dentist • Ellsworth, WI

Professional Overview & Biography Verified Profile Summary

Dr. Kaitlin Knutson, DDS is a registered healthcare professional specializing in Dentist in Ellsworth, WI. Practice services are available at 501 LUCAS LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 Lucas Ln

Ellsworth, WI 540112800

Telephone 7152733700
Associated Practice Facility / Clinic
🏢 Knutson Family Dental Facility NPI 1841871845

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ellsworth, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Ellsworth, WI (1850 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-14
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WI 1001604-15

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Krisan Shaw , DDS

Dentist - General Practice

NPI 1730219239

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 14, 2021

Registered at 501 LUCAS LN, ELLSWORTH, WI 540112800 (Tel: 7152733700)

📍
Updated Business Mailing Address June 14, 2021

Registered at PO BOX 310, ELLSWORTH, WI 540110310 (Tel: 7152733700)

📍
Updated Practice Location March 03, 2020

Registered at 1502 MAIN ST, BLOOMER, WI 547241639 (Tel: 7155682363)

📍
Updated Business Mailing Address March 03, 2020

Registered at 1502 MAIN ST, BLOOMER, WI 547241639 (Tel: 7155682363)

👤
Provider Name / Credentials Updated March 03, 2020

Recorded as KAITLIN KNUTSON, DDS

NPI Profile Active June 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2017

Registered at 615 W CLAIREMONT AVE, EAU CLAIRE, WI 547016223 (Tel: (715) 833-6271)

📍
Updated Business Mailing Address June 18, 2017

Registered at 615 W CLAIREMONT AVE, EAU CLAIRE, WI 547016223 (Tel: 7158336271)

👤
Provider Name / Credentials Updated June 18, 2017

Recorded as KAITLIN DOUGHERTY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2017

Dentist (License #1001604-15 in WI)

🟢
Initial NPI Registration & Enumeration June 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104356542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2017
Last Update: June 14, 2021
Sole Proprietor: No

Mailing Address

Po Box 310

Ellsworth, WI 540110310

Phone: 7152733700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.