Provider Demographics
NPI:1972741395
Name:MALEK& KNIGHT, DDS 2
Entity Type:Organization
Organization Name:MALEK& KNIGHT, DDS 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HULDAH
Authorized Official - Middle Name:P
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-266-3380
Mailing Address - Street 1:7633 KNIGHTDALE BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-9015
Mailing Address - Country:US
Mailing Address - Phone:919-266-7778
Mailing Address - Fax:919-266-4260
Practice Address - Street 1:7633 KNIGHTDALE BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-9015
Practice Address - Country:US
Practice Address - Phone:919-266-7778
Practice Address - Fax:919-266-4260
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOHAMMAD MALEK, DDS, MARY KNIGHT, DDS PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7005122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty