Active NPIIndividual provider

Dr. Khaled Y Alwan, DDS

Dentist, General Practice in Prospect Park, New Jersey

NPI Number1639371347
Practice location
222 Haledon Ave, Prospect Park, NJ 07508-2024
Fax
973-904-0857
Last updated
July 8, 2007

Khaled Y Alwan is a Dentist, General Practice based in Prospect Park, NJ. Khaled Y Alwan practices in Prospect Park, NJ and has the professional credentials of DDS. The NPI Number for Khaled Y Alwan is 1639371347 and holds a License No. 22di01795900 (NJ). The current practice location address for Khaled Y Alwan is 222 Haledon Ave, Prospect Park, NJ 07508-2024 and can be reached out via phone at 973-904-9611 and via fax at 973-904-0857.

Provider Profile Details

NPI Number
1639371347
Provider Name
Khaled Y Alwan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
222 Haledon Ave, Prospect Park, NJ 07508-2024
Phone Number
973-904-9611
Fax Number
973-904-0857
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
222 Haledon Ave
Prospect Park, NJ 07508-2024
Zip
07508-2024
Phone Number
973-904-9611
Fax Number
973-904-0857
Prospect Park, NJ 07508Get directions →

Provider Business Mailing Address Details

Address
194 French Hill RD
Wayne, NJ 07470-3932
City
Wayne
State
NJ
Zip
07470-3932
Phone Number
973-872-2603

License Information

License Number
22di01795900
License State
NJ
Taxonomy
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 Dr. Khaled Y Alwan, DDS?

The NPI number of Dr. Khaled Y Alwan, DDS is 1639371347. It was assigned on June 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Khaled Y Alwan, DDS?

Dr. Khaled Y Alwan, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22di01795900.

Where does Dr. Khaled Y Alwan, DDS practice?

The practice location is 222 Haledon Ave, Prospect Park, NJ 07508-2024. The office can be reached at 973-904-9611 (phone) or 973-904-0857 (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 1639371347 directly on the NPPES registry website.

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