Mohammad A Khan, DMD
Dentist in South Windsor, Connecticut
1366952897- Practice location
- 101 Cornerstone Dr, South Windsor, CT 06074-6302
- Phone
- 617-637-3637
- Fax
- —
- Last updated
- June 27, 2024
Mohammad Abbas Khan is a Dentist based in South Windsor, CT. Mohammad Abbas Khan practices in South Windsor, CT and has the professional credentials of DMD. The NPI Number for Mohammad Abbas Khan is 1366952897 and holds a License No. 12164 (CT). The current practice location address for Mohammad Abbas Khan is 101 Cornerstone Dr, South Windsor, CT 06074-6302 and can be reached out via phone at 617-637-3637.
Provider Profile Details
- NPI Number
- 1366952897
- Provider Name
- Mohammad Abbas Khan
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 101 Cornerstone Dr, South Windsor, CT 06074-6302
- Phone Number
- 617-637-3637
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 11, 2017
- Last Update Date
- June 27, 2024
- Certification Date
- June 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Cornerstone Dr
South Windsor, CT 06074-6302 - City
- South Windsor
- State
- Connecticut
- Zip
- 06074-6302
- Phone Number
- 617-637-3637
Provider Business Mailing Address Details
- Address
- 101 Cornerstone Dr
South Windsor, CT 06074-6302 - City
- South Windsor
- State
- CT
- Zip
- 06074-6302
- Phone Number
- 617-637-3637
License Information
- License Number (1)
- 12164
- License State (1)
- CT
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- DN1857790
- License State (2)
- MA
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mohammad A Khan, DMD?
The NPI number of Mohammad A Khan, DMD is 1366952897. It was assigned on October 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Mohammad A Khan, DMD?
Mohammad A Khan, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 12164.
Where does Mohammad A Khan, DMD practice?
The practice location is 101 Cornerstone Dr, South Windsor, CT 06074-6302. The office can be reached at 617-637-3637 (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 1366952897 directly on the NPPES registry website.