NPI 1902140809

Knight Dental Group

Organisation Dental Laboratory Oldsmar, FL

Practice location

Address: 3659 Tampa Rd, Oldsmar, FL 34677-6307
Phone: (813) 854-3333
Fax: (813) 814-2222

Authorised official

Name: Warren H Rogers
Title: Ceo
Phone: (813) 854-3333

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence DL1209 (FL)

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Registry record

NPI: 1902140809
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.