Dr. Shady A Khalil, DMD
Dentist, General Practice in Cliffside Park, New Jersey
1952152761- Practice location
- 608 Anderson Ave, Cliffside Park, NJ 07010-1858
- Phone
- 201-917-7977
- Fax
- —
- Last updated
- January 30, 2026
Shady A Khalil is a Dentist, General Practice based in Cliffside Park, NJ. Shady A Khalil practices in Cliffside Park, NJ and has the professional credentials of DMD. The NPI Number for Shady A Khalil is 1952152761 and holds a License No. 22DI03044700 (NJ). The current practice location address for Shady A Khalil is 608 Anderson Ave, Cliffside Park, NJ 07010-1858 and can be reached out via phone at 201-917-7977.
Provider Profile Details
- NPI Number
- 1952152761
- Provider Name
- Shady A Khalil
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 608 Anderson Ave, Cliffside Park, NJ 07010-1858
- Phone Number
- 201-917-7977
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 29, 2024
- Last Update Date
- January 30, 2026
- Certification Date
- January 30, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 608 Anderson Ave
Cliffside Park, NJ 07010-1858 - City
- Cliffside Park
- State
- New Jersey
- Zip
- 07010-1858
- Phone Number
- 201-917-7977
Provider Business Mailing Address Details
- Address
- 608 Anderson Ave
Cliffside Park, NJ 07010-1858 - City
- Cliffside Park
- State
- NJ
- Zip
- 07010-1858
License Information
- License Number
- 22DI03044700
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · 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 Dr. Shady A Khalil, DMD?
The NPI number of Dr. Shady A Khalil, DMD is 1952152761. It was assigned on March 29, 2024 and is currently active in the NPPES registry.
What is the specialty of Dr. Shady A Khalil, DMD?
Dr. Shady A Khalil, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI03044700.
Where does Dr. Shady A Khalil, DMD practice?
The practice location is 608 Anderson Ave, Cliffside Park, NJ 07010-1858. The office can be reached at 201-917-7977 (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 1952152761 directly on the NPPES registry website.