Mcknight, Matthew Gregory
Mcknight, Matthew Gregory is an sole proprietor health care provider with primary practice located at 605 Courtyard Dr , Saint Charles IL 60174-1463. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Mcknight, Matthew Gregory can be contacted via phone (630) 377-7077.Contact Information
Primary practice address
605 Courtyard Dr
Saint Charles IL 60174-1463
Phone: (630) 377-7077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 021002827 | Illinois |
Profile Details
| NPI number | 1518250125 |
|---|---|
| LBN Legal business name | Mcknight, Matthew Gregory |
| Credentials | D.D.S., M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2011 |
| Last updated | Mar 12th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518250125 | NPPES |
| Illinois | Other | 1518250125 | NPI |
| Illinois | Other | 1215579008 | NPI |
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