Provider Demographics
NPI:1265267652
Name:KHAWARI, AREEJ (DDS)
Entity type:Individual
Prefix:DR
First Name:AREEJ
Middle Name:
Last Name:KHAWARI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 N 110TH CT APT 107
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-1248
Mailing Address - Country:US
Mailing Address - Phone:785-317-4059
Mailing Address - Fax:
Practice Address - Street 1:3225 OAK VIEW DR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-5627
Practice Address - Country:US
Practice Address - Phone:402-522-6762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8042122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist