Provider Demographics
NPI:1326020363
Name:KNIGHT, ERNEST SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:
Last Name:KNIGHT
Suffix:SR
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 1:931C ARMORY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1853
Mailing Address - Country:US
Mailing Address - Phone:757-562-4320
Mailing Address - Fax:757-562-3370
Practice Address - Street 1:931C ARMORY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1853
Practice Address - Country:US
Practice Address - Phone:757-562-4320
Practice Address - Fax:757-562-3370
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA05543122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7814771Medicaid