Provider Demographics
NPI:1205818325
Name:KNIGHT, LANE T (DDS)
Entity Type:Individual
Prefix:DR
First Name:LANE
Middle Name:T
Last Name:KNIGHT
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Gender:M
Credentials:DDS
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Mailing Address - Street 1:3450 OLD WASHINGTON RD
Mailing Address - Street 2:STE 201
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3248
Mailing Address - Country:US
Mailing Address - Phone:301-645-6911
Mailing Address - Fax:301-843-0083
Practice Address - Street 1:3450 OLD WASHINGTON RD
Practice Address - Street 2:STE 201
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3248
Practice Address - Country:US
Practice Address - Phone:301-645-6911
Practice Address - Fax:301-843-0083
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MD132201223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology