Provider Demographics
NPI:1437270246
Name:KNIGHT, NAVID N (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAVID
Middle Name:N
Last Name:KNIGHT
Suffix:
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 1:2400 WESTBOROUGH BLVD STE 105B
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5412
Mailing Address - Country:US
Mailing Address - Phone:650-583-9300
Mailing Address - Fax:650-583-9324
Practice Address - Street 1:2400 WESTBOROUGH BLVD STE 105B
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5412
Practice Address - Country:US
Practice Address - Phone:650-583-9300
Practice Address - Fax:650-583-9324
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA377111223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics