| NPI | 1063573483 |
|---|---|
| Former Legal Business Name | SIDNEY A MCKNIGHT JR DDS CHTD |
| Entity Type | Organization |
| Authorized Contact | N RANDOLPH OLIVER Periodontist 913-649-4978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: KS 5907) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: KS 7083) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |