Healthcare Provider Details
I. General information
NPI: 1255595732
Provider Name (Legal Business Name): ANDREW JOSEPH KNIGHT DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/15/2008
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8477 COUNTY ROAD 64 # 3
DAPHNE AL
36526-6013
US
IV. Provider business mailing address
8477 COUNTY ROAD 64 # 3
DAPHNE AL
36526-6013
US
V. Phone/Fax
- Phone: 251-621-1301
- Fax:
- Phone: 251-621-1301
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 0005616 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 00202471 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: