Provider Demographics
NPI:1114436987
Name:WILLIAM KNIGHT DDS
Entity Type:Organization
Organization Name:WILLIAM KNIGHT DDS
Other - Org Name:KNIGHT DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST - OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-871-4006
Mailing Address - Street 1:209 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-2123
Mailing Address - Country:US
Mailing Address - Phone:501-375-0265
Mailing Address - Fax:
Practice Address - Street 1:209 S STATE ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-2123
Practice Address - Country:US
Practice Address - Phone:501-375-0265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLIAM KNIGHT DDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR41201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty