Provider Demographics
NPI:1225684160
Name:KHAN, ABDUL KARIM (DMD)
Entity Type:Individual
Prefix:DR
First Name:ABDUL
Middle Name:KARIM
Last Name:KHAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 MASSEY LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-1967
Mailing Address - Country:US
Mailing Address - Phone:131-762-8506
Mailing Address - Fax:
Practice Address - Street 1:12828 ELDORADO PKWY STE 110
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5987
Practice Address - Country:US
Practice Address - Phone:945-207-7463
Practice Address - Fax:945-888-0801
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35679122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist