Provider Demographics
NPI:1265409320
Name:KNIGHT, MARY CATHERINE (DDS)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:CATHERINE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1008 BIG OAK CT
Mailing Address - Street 2:SUITE C
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-8841
Mailing Address - Country:US
Mailing Address - Phone:919-266-3380
Mailing Address - Fax:919-266-3319
Practice Address - Street 1:1008 BIG OAK CT
Practice Address - Street 2:SUITE C
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-8841
Practice Address - Country:US
Practice Address - Phone:919-266-3380
Practice Address - Fax:919-266-3319
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC71461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89012H6Medicaid
NC311772211OtherTIN