Individual
MR. MICHAEL A. KNIGHT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5106 OAK ST, EASTMAN, GA 31023
(478) 268-4959
(478) 268-4959
Mailing address
5106 OAK ST, EASTMAN, GA 31023
(478) 268-4959
(478) 268-4959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10635
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00369377B
—
GA
Enumeration date
08/02/2006
Last updated
10/19/2020
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