Individual provider Active NPI

Milan Nico Khazana, DMD

  • General Practice Dentistry
  • West Grove, PA
National Provider Identifier
1912836974
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS045673 Issued in PA
Practice address
390 Vineyard Way Ste 505
West Grove, PA 19390-8836
Phone
(610) 869-6055
NPI assigned
May 15, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS045673 PA Primary

Addresses

Primary practice location

390 Vineyard Way Ste 505
West Grove, PA 19390-8836

Mailing address

356 Redbud LN
Kennett Square, PA 19348-1584
Phone (610) 563-7174

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS045673PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Dental, LLC Past Accepting new patients
Oasis Dental Team PC PastSince Dec 21, 2021 Accepting new patients
Premier Dental General Practice Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1912836974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 REDBUD LN",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481584",
            "telephone_number": "610-563-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 VINEYARD WAY STE 505",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908836",
            "telephone_number": "610-869-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAZANA",
        "first_name": "MILAN",
        "middle_name": "NICO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.