Provider Demographics
NPI:1336221480
Name:KNIGHTS, CALVIN ROY (DMD)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:ROY
Last Name:KNIGHTS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:LYME
Mailing Address - State:NH
Mailing Address - Zip Code:03768-3000
Mailing Address - Country:US
Mailing Address - Phone:603-795-2400
Mailing Address - Fax:
Practice Address - Street 1:2 CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1304
Practice Address - Country:US
Practice Address - Phone:603-448-4200
Practice Address - Fax:603-448-6424
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1543122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH40004178Medicaid