Gaith Khatlan, DMD

Dentist · Crest Hill, IL

Individual Active NPI

NPI number 1326531088

Practice location

2241 Theodore St
Crest Hill, IL 60403-1881
Phone
(815) 741-1700

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NPI record

NPI
1326531088
Entity type
Individual (Type 1)
Enumeration date
June 7, 2018
Last updated
May 22, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.031631 IL

Mailing address

1127 Washington Blvd Apt 3i
Oak Park, IL 60302-3660
Phone
(206) 375-7915

Other practice locations (1)

  • 7710 W North Ave, Elmwood Park, IL 60707-4123 · (206) 375-7915

About Dr. Khatlan

Gaith Khatlan, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2241 Theodore St, Crest Hill, IL 60403-1881. The NPI number 1326531088 was assigned on June 7, 2018 and the record was last updated on May 22, 2019.

Dr. Khatlan lists a license in the registry: #019.031631 (IL) 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 Gaith Khatlan, DMD?

The NPI number is 1326531088.

What is the phone number of Dr. Khatlan?

The phone number listed for the practice location is (815) 741-1700.

Where is Dr. Khatlan located?

2241 Theodore St, Crest Hill, IL 60403-1881.

What is the taxonomy code for Dr. Khatlan?

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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