Provider Demographics
NPI:1215032206
Name:KNIGHT, JOHN HOWARD JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HOWARD
Last Name:KNIGHT
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 N BERKSHIRE RD
Mailing Address - Street 2:SUITE #203
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2761
Mailing Address - Country:US
Mailing Address - Phone:434-293-9793
Mailing Address - Fax:434-296-2090
Practice Address - Street 1:2202 N BERKSHIRE RD
Practice Address - Street 2:SUITE #203
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2761
Practice Address - Country:US
Practice Address - Phone:434-293-9793
Practice Address - Fax:434-296-2090
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410495122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10495OtherGUARDIAN
VA139544OtherANTHEM
VA10495OtherDELTA DENTAL OF VA
VA1421573OtherUNITED CONCORDIA