Provider Demographics
NPI:1255503470
Name:KACHLAN, MOHD MAJED (DDS)
Entity Type:Individual
Prefix:DR
First Name:MOHD
Middle Name:MAJED
Last Name:KACHLAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6455 W CIMARRON TRL
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-2022
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1481 S CENTER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48509-1779
Practice Address - Country:US
Practice Address - Phone:810-744-2982
Practice Address - Fax:810-744-2983
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901600211122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist