Provider Demographics
NPI:1316424328
Name:MCKNIGHT, DYLAN (DMD)
Entity type:Individual
Prefix:
First Name:DYLAN
Middle Name:
Last Name:MCKNIGHT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7970 SHERIDAN BLVD STE 300A
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80003-6200
Mailing Address - Country:US
Mailing Address - Phone:720-390-5947
Mailing Address - Fax:720-307-3467
Practice Address - Street 1:7970 SHERIDAN BLVD STE 300A
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80003-6200
Practice Address - Country:US
Practice Address - Phone:720-390-5947
Practice Address - Fax:720-307-3467
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00203683122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist