Organization
AMERICAN DENTAL OF LAGRANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALAN KNIGHT DMO (DDS)
(706) 837-0123
Entity
Organization
Contact information
Practice address
313 MOOTY BRIDGE ROAD, LAGRANGE, GA 30240
(706) 837-0123
(706) 668-5100
Mailing address
P.O BOX 457, EASTMAN, GA 31023
(478) 290-7340
(706) 668-5100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
12/06/2016
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