Healthcare Provider Details

I. General information

NPI: 1528998325
Provider Name (Legal Business Name): NATHAN LAIMING KHOO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 WESTMORELAND AVE
NAPOLEON OH
43545-1260
US

IV. Provider business mailing address

324 OTTAWA DR
TROY MI
48085-1576
US

V. Phone/Fax

Practice location:
  • Phone: 877-478-0988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.028479
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: