Provider Demographics
NPI:1558353615
Name:KHAN, SALMAN H (DDS)
Entity Type:Individual
Prefix:DR
First Name:SALMAN
Middle Name:H
Last Name:KHAN
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 1:54 MAIN ST
Mailing Address - Street 2:'F'
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-3009
Mailing Address - Country:US
Mailing Address - Phone:203-730-8440
Mailing Address - Fax:203-797-0822
Practice Address - Street 1:54 MAIN ST
Practice Address - Street 2:'F'
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-3009
Practice Address - Country:US
Practice Address - Phone:203-730-8440
Practice Address - Fax:203-797-0822
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0091171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice