Anthony Charles Kight, DDS
Individual provider Active NPI Prosthodontics · Fort Eisenhower, GA
NPI 1780993485 · NPPES record last updated Apr 23, 2024
Key facts
- NPI
- 1780993485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- 12011518A (IN)
- Practice address
- 236 E Hospital Rd BLDG 322
Fort Eisenhower, GA 30905-6011 - Phone
- (317) 903-7092
- NPI assigned
- Sep 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011518A | IN | MD | Prosthodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12011518A | IN | |
| Dental Laboratory Technician | 126900000X | |||
| Prosthodontics | 1223P0700X | 12011518A | IN | Yes |
Addresses
Primary practice location
236 E Hospital Rd BLDG 322
Fort Eisenhower, GA 30905-6011
Mailing address
263 East Hospital Road, Building 322
Fort Eisenhower, GA 30905-5650
Phone (317) 903-7092
Other providers in Fort Eisenhower, GA
- Caitlyn Jarrio
- Christopher Barrett Jones
- Joseph Alexander Kerr
- Dennis W Kiernan
- Josiah L Kietzman
- Ashley R Killings
- Laura Krause
- Nashunta Denise Lacey
- Matthew Lavengood
- Liberty Caitlyn Lester
All providers in Fort Eisenhower, GA · Prosthodontics in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.