Provider Demographics
NPI:1952582454
Name:SHEIKH, KHURRUM S (DMD)
Entity type:Individual
Prefix:
First Name:KHURRUM
Middle Name:S
Last Name:SHEIKH
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 1:2929 KLOCKNER RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-2809
Mailing Address - Country:US
Mailing Address - Phone:402-332-8454
Mailing Address - Fax:
Practice Address - Street 1:27 BLACKSMITH RD STE 101
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1870
Practice Address - Country:US
Practice Address - Phone:215-968-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02442600122300000X
NE6737122300000X
PADS040706122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist