NPI 1003108770

Thomas Michael Knight

Practitioner General Practice Dentistry Bainbridge Island, WA

Practice location

Address: 1145 Madison Ave N, Bainbridge Island, WA 98110-1782
Phone: (206) 842-3764

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DE 00006898 (WA)

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Registry record

NPI: 1003108770
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2011
Record last updated: 12 May 2011

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.