Provider Demographics
NPI:1679683460
Name:KNIGHT, DANIEL L (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
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 1:2307 W ANDREW JOHNSON HWY
Mailing Address - Street 2:BLDG 1 SUITE 1
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3272
Mailing Address - Country:US
Mailing Address - Phone:423-581-8020
Mailing Address - Fax:423-581-0118
Practice Address - Street 1:2307 W ANDREW JOHNSON HWY
Practice Address - Street 2:BLDG 1 SUITE 1
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3272
Practice Address - Country:US
Practice Address - Phone:423-581-8020
Practice Address - Fax:423-581-0118
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN77891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice