Provider Demographics
NPI:1952817652
Name:SAI N KHAM DMD PLLC
Entity Type:Organization
Organization Name:SAI N KHAM DMD PLLC
Other - Org Name:WASHINGTON DC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAI
Authorized Official - Middle Name:N
Authorized Official - Last Name:KHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:202-677-0456
Mailing Address - Street 1:10210 BUSHMAN DR
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-2887
Mailing Address - Country:US
Mailing Address - Phone:202-505-3938
Mailing Address - Fax:
Practice Address - Street 1:2021 K ST NW STE 412
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-677-0456
Practice Address - Fax:202-810-9182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN1001122122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty