Active NPIIndividual provider

Mustajab Khalil, DMD

Dentist, General Practice in Deptford, New Jersey

NPI Number1336700046
Practice location
1450 Clements Bridge RD Ste 13, Deptford, NJ 08096-3068
Fax
—
Last updated
June 24, 2019

Mustajab Khalil is a Dentist, General Practice based in Deptford, NJ. Mustajab Khalil practices in Deptford, NJ and has the professional credentials of DMD. The NPI Number for Mustajab Khalil is 1336700046 and holds a License No. DS042225 (PA). The current practice location address for Mustajab Khalil is 1450 Clements Bridge RD Ste 13, Deptford, NJ 08096-3068 and can be reached out via phone at 856-322-0536.

Provider Profile Details

NPI Number
1336700046
Provider Name
Mustajab Khalil
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1450 Clements Bridge RD Ste 13, Deptford, NJ 08096-3068
Phone Number
856-322-0536
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 24, 2019
Last Update Date
June 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1450 Clements Bridge RD Ste 13
Deptford, NJ 08096-3068
Zip
08096-3068
Phone Number
856-322-0536
Deptford, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
121 S 43RD St Apt 402
Philadelphia, PA 19104-3195
City
Philadelphia
State
PA
Zip
19104-3195
Phone Number
267-602-7211

License Information

License Number (1)
DS042225
License State (1)
PA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
22DI02761100
License State (2)
NJ
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Mustajab Khalil, DMD?

The NPI number of Mustajab Khalil, DMD is 1336700046. It was assigned on June 24, 2019 and is currently active in the NPPES registry.

What is the specialty of Mustajab Khalil, DMD?

Mustajab Khalil, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PA under license number DS042225.

Where does Mustajab Khalil, DMD practice?

The practice location is 1450 Clements Bridge RD Ste 13, Deptford, NJ 08096-3068. The office can be reached at 856-322-0536 (phone).

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 1336700046 directly on the NPPES registry website.

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