Provider Demographics
NPI:1144328220
Name:KNIGHT, CYNTHIA MALECKI (DDS)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MALECKI
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:MARIE
Other - Last Name:MALECKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3412 E US HIGHWAY 377
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-7418
Mailing Address - Country:US
Mailing Address - Phone:817-573-3761
Mailing Address - Fax:817-573-3764
Practice Address - Street 1:3412 E US HIGHWAY 377
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-7418
Practice Address - Country:US
Practice Address - Phone:817-573-3761
Practice Address - Fax:817-573-3764
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAK1051122300000X
TX29652122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist