Charles Ed Knight in Little Rock - Oral And Maxillofacial Surgery
Charles Ed Knight - NPI 1104935782
Charles Ed Knight is a Oral And Maxillofacial Surgery in Little Rock, Arkansas. Charles Ed Knight practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Charles Ed Knight is 1104935782. The last update date is 2007-07-09.
Charles Ed Knight's current location address is 9601 Lile Dr Ste 240, Little Rock, Arkansas. You can contact this provider via phone number 5012243008 and fax number 5012243009. The mailing address for Charles Ed Knight is 9601 Lile Dr Ste 240, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Ed Knight |
|---|---|
| Address | 9601 Lile Dr Ste 240, Little Rock, Arkansas |
| Phone Number | 5012243008 |
| Fax Number | 5012243009 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1104935782 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 9601 Lile Dr Ste 240 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722056342 |
| Phone Number | 5012243008 |
| Fax Number | 5012243009 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2163 |
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Definition: The specialty of dentistry which includes 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 56262 | AR | BLUE CROSS PROVIDER # | |
| 15086000040 | AR | QUAL CHOICE PROVIDER # |
Post Comment/ Review Below
What is the unique identifier code issued to Charles Ed Knight by the Centers for Medicare & Medicaid Services (CMS)?
The Charles Ed Knight has been assigned the NPI (National Provider Identifier) 1104935782. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Charles Ed Knight's facilities are situated?
The facilities of Charles Ed Knight are physically located at the following address: 9601 Lile Dr Ste 240, Little Rock, AR, 722056342.
What is the Charles Ed Knight's specialty and taxonomy code?
The Charles Ed Knight's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
When did Charles Ed Knight receive its 1104935782 assignment?
The Charles Ed Knight was assigned its 1104935782 on 2006-08-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Charles Ed Knight last refreshed?
The information related to the Charles Ed Knight, including its address, specialty, and other relevant details, was last updated on 2007-07-09.