CHARLES ED KNIGHT D.D.S. NPI 1104935782

NPI Information

NPI: 1104935782
Provider Name: CHARLES ED KNIGHT, D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
9601 LILE DR STE 240
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 224-3008
Get Directions

Charles Ed Knight, D.D.S. is an oral and maxillofacial surgery dentist in Little Rock, AR. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Charles Ed Knight, D.D.S. NPI is 1104935782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9601 LILE DR STE 240
LITTLE ROCK, AR
ZIP 72205-342
Phone: (501) 224-3008
Fax: (501) 224-3009

The NPI 1104935782 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	2163	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	56262	OTHER	ARKANSAS	BLUE CROSS PROVIDER #
2	56262	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS	MEDICARE PROVIDER NUMBER
3	T20360	MEDICARE UPIN	ARKANSAS
4	15086000040	OTHER	ARKANSAS	QUAL CHOICE PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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