Al Dental P.C

Primary specialty

DentistTaxonomy code 122300000X

License

045003 Issued in NY

Legal business name

AL DENTAL P.C

Practice address

37 33 77 Street
Jackson Heights
New York, NY 11372

Phone

(718) 478-6100

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wali Khan, DDS

Title

Dentist

Phone

(718) 478-6100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1134323819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 33 77 ST JACKSON HEIGHTS",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-478-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 33 77 STREET",
            "address_2": "JACKSON HEIGHTS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-478-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL DENTAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "WALI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-478-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "045003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majd Al Assaad
• Sufyan Ahmed Al Azzawi
• Yorg Al Azzi, M.D.
• Wid Al Bayaty, MSC
• Osama Ahmad Odeh Al Dalahmah, M.D.
• Al Dermatology,PC
• Omar Al Dhaybi, M.D.
• Nadia Al Haddad, MD
• Rama Al Hamed, MD
• Majed Al Hassanieh

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.