Healthcare Provider Details

I. General information

NPI: 1073302196
Provider Name (Legal Business Name): MOHAMMAD ZAIN UL KHOKHAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ZAIN KHOKHAR DDS

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E MAIN ST
COLUMBUS OH
43213-3038
US

IV. Provider business mailing address

4545 E MAIN ST
COLUMBUS OH
43213-3038
US

V. Phone/Fax

Practice location:
  • Phone: 614-231-1600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.027906
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: