Charles Ed Knight
Oral and Maxillofacial Surgeon
9601 Lile Dr Ste 240
Little Rock
, Arkansas 72205-6342
Charles Ed Knight
Oral and Maxillofacial Surgeon
9601 Lile Dr Ste 240
Little Rock
, Arkansas 72205-6342
(501) 224-3009
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Charles Ed Knight
- 9601 Lile Dr Ste 240
- Little Rock, AR
- Zip : 72205-6342
- Fax : (501) 224-3009
- Phone : (501) 224-3008
Second Address
- Charles Ed Knight
- 9601 Lile Dr Ste 240
- Little Rock, AR
- Zip : 72205-6342
- Fax : (501) 224-3009
- Phone : (501) 224-3008
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2163 | AR |
National Provider Identifier
| NPI | 1104935782 |
|---|---|
| Provider Name | Charles Ed Knight |
| First Address | Little Rock, AR 72205-6342 |
| Second Address | Little Rock, AR 72205-6342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 15086000040 | QUAL CHOICE PROVIDER # (01) | AR |
| 56262 | BLUE CROSS PROVIDER # (01) | AR |
| T20360 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.