Azba Khan, DMD

General Practice Dentistry · Newark, NJ

Individual Active NPI

NPI number 1851001754

Practice location

639 Mount Prospect Ave
Newark, NJ 07104-3109
Phone
(973) 481-3900

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NPI record

NPI
1851001754
Entity type
Individual (Type 1)
Enumeration date
December 1, 2022
Last updated
December 15, 2023
Certified
December 15, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 40152 TX
Dentist 122300000X 22DI02939300 NJ

Mailing address

503 Morris Ave
Boonton, NJ 07005-1319

About Dr. Khan

Azba Khan, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 639 Mount Prospect Ave, Newark, NJ 07104-3109. The NPI number 1851001754 was assigned on December 1, 2022 and the record was last updated on December 15, 2023.

Dr. Khan lists 2 licenses in the registry: #40152 (TX) for General Practice Dentistry; #22DI02939300 (NJ) 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 Azba Khan, DMD?

The NPI number is 1851001754.

What is the phone number of Dr. Khan?

The phone number listed for the practice location is (973) 481-3900.

Where is Dr. Khan located?

639 Mount Prospect Ave, Newark, NJ 07104-3109.

What is the taxonomy code for Dr. Khan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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