Active NPIIndividual providerSole proprietor

Dr. Charles P Khoury

Dentist, General Practice in Fairhaven, Massachusetts

NPI Number1124000393
Practice location
404 Huttleston Ave, 1ST Floor, Fairhaven, MA 02719-5630
Fax
508-997-0776
Last updated
July 8, 2007

Charles Pierre Khoury is a Dentist, General Practice based in Fairhaven, MA. Charles Pierre Khoury practices in Fairhaven, MA. The NPI Number for Charles Pierre Khoury is 1124000393 and holds a License No. 20015 (MA). The current practice location address for Charles Pierre Khoury is 404 Huttleston Ave, 1ST Floor, Fairhaven, MA 02719-5630 and can be reached out via phone at 508-997-7776 and via fax at 508-997-0776.

Provider Profile Details

NPI Number
1124000393
Provider Name
Charles Pierre Khoury
Provider Entity Type
Individual
Gender
Male
Address
404 Huttleston Ave, 1ST Floor, Fairhaven, MA 02719-5630
Phone Number
508-997-7776
Fax Number
508-997-0776
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
November 15, 2005
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
404 Huttleston Ave
1ST Floor
Fairhaven, MA 02719-5630
Zip
02719-5630
Phone Number
508-997-7776
Fax Number
508-997-0776
Fairhaven, MA 02719Get directions →

Provider Business Mailing Address Details

Address
1428 Dartmouth Woods Drive
Dartmouth, MA 02747
City
Dartmouth
State
MA
Zip
02747
Phone Number
508-997-7776

License Information

License Number
20015
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, General Practice providers near Fairhaven, MA

View all Dentist, General Practice providers in Fairhaven →

Frequently Asked Questions

What is the NPI number of Dr. Charles P Khoury?

The NPI number of Dr. Charles P Khoury is 1124000393. It was assigned on November 15, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles P Khoury?

Dr. Charles P Khoury is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20015.

Where does Dr. Charles P Khoury practice?

The practice location is 404 Huttleston Ave, 1ST Floor, Fairhaven, MA 02719-5630. The office can be reached at 508-997-7776 (phone) or 508-997-0776 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124000393 directly on the NPPES registry website.

Browse related providers