Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Knickerbocker, DMD

Individual provider General Practice Dentistry · NPI 1922790179

Jennifer Knickerbocker, DMD is a General Practice Dentistry in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2334 N 11th St
Phoenix, AZ 85006-1635
Phone: (916) 267-8076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D011775 (AZ)

Record details

NPI number1922790179
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 25, 2023
Last updated in NPPESMay 25, 2023
Certification dateMay 24, 2023
Mailing address2334 N 11th St, Phoenix, AZ 85006-1635

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