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General NPI Number Information
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NPI Number | 1184178972
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Entity Type | Organization
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Legal Business Name | ADEEL A. KHAN, DMD, PLLC
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Dates
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Enumeration Date | 08/09/2016
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 23302 W FERNHURST DRIVE SUITE 200
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone | 832-559-2370
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Fax |
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Provider Business Mailing Address
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Address Line | 23302 W FERNHURST DRIVE SUITE 200
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone | 832-559-2370
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADEEL A KHAN
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Credential | DMD
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Telephone | 832-559-2370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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