Hassan Ali Khan, DDS

Dentist · Olney, MD

Individual Active NPI

NPI number 1104576719

Practice location

62 Shadowridge Ct
Olney, MD 20832-3070
Phone
(240) 701-4883

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NPI record

NPI
1104576719
Entity type
Individual (Type 1)
Enumeration date
March 26, 2022
Last updated
March 26, 2022
Certified
March 25, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 107374 CA

Mailing address

4901 E Kings Canyon Rd
Fresno, CA 93727-3812
Phone
(866) 592-8129

About Dr. Khan

Hassan Ali Khan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 62 Shadowridge Ct, Olney, MD 20832-3070. The NPI number 1104576719 was assigned on March 26, 2022 and the record was last updated on March 26, 2022.

Dr. Khan lists a license in the registry: #107374 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Hassan Ali Khan, DDS?

The NPI number is 1104576719.

What is the phone number of Dr. Khan?

The phone number listed for the practice location is (240) 701-4883.

Where is Dr. Khan located?

62 Shadowridge Ct, Olney, MD 20832-3070.

What is the taxonomy code for Dr. Khan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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