Trusted Dentistry Nadeem Khan DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-020449 Issued in OH

Legal business name

TRUSTED DENTISTRY NADEEM KHAN DDS LLC

Practice address

5163 South Main St.
Sylvania, OH 43560-2125

Phone

(419) 885-2000

Fax

(419) 882-2000

NPI assigned

Jul 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nadeem Khan, DDS

Title

Owner/Dentist

Phone

(419) 885-2000

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1225269749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5163 SOUTH MAIN ST.",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602125",
            "telephone_number": "419-885-2000",
            "fax_number": "419-882-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5163 SOUTH MAIN ST.",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602125",
            "telephone_number": "419-885-2000",
            "fax_number": "419-882-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTED DENTISTRY NADEEM KHAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "419-885-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022448",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-019121",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-020449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sylvania, OH
• Providers in Sylvania, OH by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.