# KNIGHT DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Knight Dental Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902140809
- **Authorized official:** MR. WARREN H ROGERS (CEO)
- **Authorized official phone:** (813) 854-3333

## Contact information

- **Practice address:** 3659 TAMPA RD, OLDSMAR, FL 34677-6307
- **Practice address phone:** (813) 854-3333
- **Practice address fax:** (813) 814-2222
- **Mailing address:** 3659 TAMPA RD, OLDSMAR, FL 34677-6307
- **Mailing address phone:** (813) 854-3333
- **Mailing address fax:** (813) 814-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | DL1209 | FL | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012