Rajiv Khurana, D.D.S.

Individual provider Active NPI General Practice Dentistry · South Holland, IL

NPI 1386709079 · NPPES record last updated Apr 24, 2024

Key facts

NPI
1386709079
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
Practice address
16270 Prince Dr
South Holland, IL 60473-3233
Phone
(708) 333-2213
NPI assigned
Dec 25, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
019-024350ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Care 4 U P C Current
since Jul 24, 2022
Accepting new patients
Dental Care 4 U P C Current
since Mar 20, 2022
Accepting new patients

Locations

16270 Prince Dr
South Holland, IL 60473
Phone (708) 333-2213

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Yes

Addresses

Primary practice location

16270 Prince Dr
South Holland, IL 60473-3233

Mailing address

16270 Prince Dr
South Holland, IL 60473-3233
Phone (708) 333-2213

Other providers in South Holland, IL

All providers in South Holland, IL · General Practice Dentistry in Illinois

Sources for this page

Verify at the official NPI Registry.