Iftikhar Ali Khan, DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

28584 Issued in CA

Legal business name

IFTIKHAR ALI KHAN, DDS, INC

Doing business as

Grand Family Dental Office

Practice address

1434 S Grand Ave
Glendora, CA 91740-5400

Phone

(626) 335-7989

Fax

(626) 335-2089

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Iftikhar Ali Khan, D.D.S.

Title

President

Phone

(626) 335-7989

Specialties & licenses 1

Addresses

Other names 1

• Grand Family Dental Office Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joy Marie Helou, DDS

  • General Practice Dentistry
  • Glendora, CA
  • NPI 1245482223
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1114063112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405400",
            "telephone_number": "626-335-7989",
            "fax_number": "626-335-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405400",
            "telephone_number": "626-335-7989",
            "fax_number": "626-335-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFTIKHAR ALI KHAN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IFTIKHAR",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-335-7989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "28584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Family Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Glendora, CA
• Providers in Glendora, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.