Individual
DR. MATTHEW GREGORY MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
605 COURTYARD DR, SAINT CHARLES, IL 60174-1463
(630) 377-7077
Mailing address
605 COURTYARD DR, SAINT CHARLES, IL 60174-1463
(630) 377-7077
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021002827
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215579008
NPI CORPORATE
IL
01
—
1518250125
NPI
IL
Enumeration date
05/16/2011
Last updated
03/12/2024
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