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Deactivated NPI 1780705913 Deactivated / Inactive NPI Male Practitioner

Dr. Mohammed Imtiaz Khan , DDS

Dentist - General Practice • Orlando, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mohammed Khan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 03, 2007
NPI Deactivation Date May 03, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Mohammed Khan, DDS was a registered Dentist - General Practice practicing in Orlando, FL. Throughout an active medical career spanning 16 years, Dr. Khan provided care at the practice location at 3924 TOWN CTR BLVD until profile deactivation on 2023-05-03.

Practice Location & Contact Primary Location

Practice Address

3924 Town Ctr Blvd

Orlando, FL 328376103

Telephone 4072401500
Fax 4072406922
Associated Practice Facility / Clinic
🏢 Mohammed I Khan Dds Pc Facility NPI 1104520154

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
312 Specialists

Practicing in Orlando, FL (7473 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 FL DN 12732

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

1 Associated Practitioners
NPI 1740269570

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 03, 2023

Record deactivated on May 03, 2023

NPI Profile Active March 22, 2016

NPI status registered as active in NPPES database

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Updated Practice Location March 22, 2016

Registered at 3924 TOWN CTR BLVD, ORLANDO, FL 328376103 (Tel: 4072401500)

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Updated Business Mailing Address March 22, 2016

Registered at 3924 TOWN CTR BLVD, ORLANDO, FL 328376103 (Tel: 4072401500)

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Provider Name / Credentials Updated March 22, 2016

Recorded as MOHAMMED KHAN, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2016

Dentist (License #DN 12732 in FL)

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Initial NPI Registration & Enumeration April 03, 2007

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: 1780705913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: March 22, 2016
Deactivation Date: May 03, 2023

Mailing Address

3924 Town Ctr Blvd

Orlando, FL 328376103

Phone: 4072401500

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.