Healthcare Provider Details

I. General information

NPI: 1356263883
Provider Name (Legal Business Name): BRYANT KNIGHT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3069 CLIFTON SPRINGS RD
DECATUR GA
30034-3822
US

IV. Provider business mailing address

3069 CLIFTON SPRINGS RD
DECATUR GA
30034-3822
US

V. Phone/Fax

Practice location:
  • Phone: 706-580-7177
  • Fax:
Mailing address:
  • Phone: 706-580-7177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD842H9NR
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: