Individual
DR. JEFFREY LAMONE KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3105 SHAW DR., GAUTIER, MS 39553
(228) 497-3111
(228) 497-3113
Mailing address
3105 SHAW DR., P.O. BOX 550, GAUTIER, MS 39553-0550
(228) 497-3111
(228) 497-3113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MS2876-95
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660117
—
MS
01
—
MS2876-95
MISSISSIPPI DENTAL LICENS
MS
Enumeration date
11/15/2006
Last updated
07/09/2007
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