Provider Demographics
NPI:1891567897
Name:KNIGHT DENTAL CARE FLINT, PLLC
Entity Type:Organization
Organization Name:KNIGHT DENTAL CARE FLINT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-845-8490
Mailing Address - Street 1:1408 W HILL RD STE A
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-4726
Mailing Address - Country:US
Mailing Address - Phone:810-239-8810
Mailing Address - Fax:810-239-8830
Practice Address - Street 1:1408 W HILL RD STE A
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-4726
Practice Address - Country:US
Practice Address - Phone:810-239-8810
Practice Address - Fax:810-239-8830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty