Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629593793 Individual Practitioner Male Practitioner

Dr. Moid Khan , DDS

Dentist - General Practice • Lodi, CA

Professional Overview & Biography Verified Profile Summary

Dr. Moid Khan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lodi, CA. Practice services are available at 1104 S FAIRMONT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1104 S Fairmont Ave

Lodi, CA 952405542

Telephone 2093693657
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lodi, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Lodi, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 101812

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1124103361

Doctor of Dental Surgery

NPI 1346922283

Doctor of Dental Surgery

NPI 1437980885

Doctor of Dental Surgery

Dr. Mary Hoff , DDS

Dentist - General Practice

NPI 1548313216

Doctor of Dental Surgery

NPI 1578136354

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active October 02, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address October 02, 2017

Registered at PO BOX 622, WEST SACRAMENTO, CA 956910622 (Tel: 9165050810)

📍
Updated Practice Location October 02, 2017

Registered at 1104 S FAIRMONT AVE, LODI, CA 952405542 (Tel: 2093693657)

👤
Provider Name / Credentials Updated October 02, 2017

Recorded as MOID KHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2017

Dentist (License #101812 in CA)

NPI Profile Active August 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2017

Registered at 1104 S FAIRMONT AVE, LODI, CA 952405542 (Tel: 2093693657)

📍
Updated Business Mailing Address August 09, 2017

Registered at 27 ARDEA PL, SACRAMENTO, CA 958352009 (Tel: 9165050810)

👤
Provider Name / Credentials Updated August 09, 2017

Recorded as MOID KHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2017

Dentist (License #101812 in CA)

🟢
Initial NPI Registration & Enumeration August 09, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629593793
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2017
Last Update: October 02, 2017
Sole Proprietor: Yes

Mailing Address

Po Box 622

West Sacramento, CA 956910622

Phone: 9165050810

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.