Provider Demographics
NPI:1487797593
Name:DR. MELVIN K. KNIGHT, INC
Entity type:Organization
Organization Name:DR. MELVIN K. KNIGHT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-487-5807
Mailing Address - Street 1:1955 S 1300 E
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105-3638
Mailing Address - Country:US
Mailing Address - Phone:801-487-5807
Mailing Address - Fax:801-487-3438
Practice Address - Street 1:1955 S 1300 E
Practice Address - Street 2:SUITE 3
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84105-3638
Practice Address - Country:US
Practice Address - Phone:801-487-5807
Practice Address - Fax:801-487-3438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1287581223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty