MEDICARE: DR. FAIZUL T KHAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DI 19009	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427279850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FAIZUL T KHAN DDS

Provider Business Mailing Address
First Line	:	305 BROADWAY
Second Line	:	2ND FLOOR
City	:	PATERSON
State	:	NJ
Zip	:	07501-2102
Country	:	US
Telephone Number	:	973-684-5854
Fax Number	:	973-684-1952

Provider Business Practice Location Address
First Line	:	305 BROADWAY
Second Line	:	2ND FLOOR
City	:	PATERSON
State	:	NJ
Zip	:	07501-2102
Country	:	US
Telephone Number	:	973-684-5854
Fax Number	:	973-684-1952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	03/08/2026

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