Frozahn Khwaja DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FROZAHN KHWAJA DDS PLLC

Doing business as

Pearl Smiles Dentistry

Practice address

17 Conklin St Ste 2
Farmingdale, NY 11735-2557

Phone

(516) 962-2785

NPI assigned

Oct 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frozahn Khwaja, DDSNPI 1366027047

Title

Dentist, Owner

Phone

(631) 793-5459

Specialties & licenses 1

Addresses

Other names 1

• Pearl Smiles Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frozahn Khwaja, DDS

  • General Practice Dentistry
  • Farmingdale, NY
  • NPI 1366027047
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1053132936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CONKLIN ST STE 2",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352557",
            "telephone_number": "516-962-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CONKLIN ST STE 2",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352557",
            "telephone_number": "516-962-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROZAHN KHWAJA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "KHWAJA",
        "authorized_official_first_name": "FROZAHN",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "631-793-5459",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna M Forker, RPA-C
• John G Fox, P.T.
• Jacqueline Franco
• Justine Frazer
• Keith Frazier
• Allan Fuchs, OTR
• Fulton Street Medical, PC
• FWC Medical, PC
• John J Gabrielli, DDS
• Afsheen Gadit, RPH

• Dental Clinic/Center in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.