Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821793001 Individual Practitioner Male Practitioner

Dr. Owais Khan , DDS

Dentist • Cocoa, FL

Professional Overview & Biography Verified Profile Summary

Dr. Owais Khan, DDS is a registered healthcare professional specializing in Dentist in Cocoa, FL. Practice services are available at 1178 FAY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1178 Fay Blvd

Cocoa, FL 329278739

Telephone 3213433979
Fax 3212209697
Associated Practice Facility / Clinic
🏢 Luminary Dental Facility NPI 1972433084

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Cocoa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Cocoa, FL (6414 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

CMS Verified: 2026-06-17
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN28928

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location May 20, 2026

Registered at 1178 FAY BLVD, COCOA, FL 329278739 (Tel: 3213433979)

📍
Updated Business Mailing Address May 20, 2026

Registered at 1178 FAY BLVD, COCOA, FL 329278739 (Tel: 3213433979)

📍
Updated Practice Location December 04, 2024

Registered at 2102 S RIDGEWOOD AVE # 10, EDGEWATER, FL 321414240 (Tel: 3865643086)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2024

Dentist (License #DN28928 in FL)

NPI Profile Active April 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2023

Registered at 201 LYONS AVE, NEWARK, NJ 071122027 (Tel: 8008432384)

📍
Updated Business Mailing Address April 05, 2023

Registered at 2426 RIVERSIDE STATION BLVD, SECAUCUS, NJ 070944418

👤
Provider Name / Credentials Updated April 05, 2023

Recorded as OWAIS KHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2023

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: 1821793001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2023
Last Update: June 17, 2026
Sole Proprietor: Yes

Mailing Address

1178 Fay Blvd

Cocoa, FL 329278739

Phone: 3213433979

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.