Provider Demographics
NPI:1932165248
Name:KNIGHT, GEORGE THOMAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:THOMAS
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22610 US HIGHWAY 281 N
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7561
Mailing Address - Country:US
Mailing Address - Phone:210-494-4407
Mailing Address - Fax:210-494-4415
Practice Address - Street 1:22610 US HIGHWAY 281 N
Practice Address - Street 2:SUITE 210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7561
Practice Address - Country:US
Practice Address - Phone:210-494-4407
Practice Address - Fax:210-494-4415
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX156361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice