Provider Demographics
NPI:1700016995
Name:JOHN H. KNIGHT, JR. DDS & ASSOCIATES
Entity Type:Organization
Organization Name:JOHN H. KNIGHT, JR. DDS & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHISHOLM
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:540-832-3232
Mailing Address - Street 1:2202 N BERKSHIRE RD
Mailing Address - Street 2:
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:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410495122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty