Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295121341 Individual Practitioner Female Practitioner

Dr. Sheba Sarwat Khan , DDS

Dentist • Blue Island, IL

Professional Overview & Biography Verified Profile Summary

Dr. Sheba Khan, DDS is a registered healthcare professional specializing in Dentist in Blue Island, IL. Practice services are available at 12200 WESTERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12200 Western Ave

Blue Island, IL 604061398

Telephone 7083853700
Associated Practice Facility / Clinic
🏢 Midwest Express Care 2, Inc Facility NPI 1063954220

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Blue Island, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Blue Island, IL (4751 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019030558

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1013579226
Dr. Gabriel Kosmalski , DDS

Dentist - General Practice

NPI 1144079823

Doctor of Dental Surgery

NPI 1235450362

Doctor of Dental Surgery

Dr. Summayya Ather , DDS

Dentist - General Practice

NPI 1245153220

Doctor of Dental Surgery

Dr. Darlene Buis , DDS

Dentist - General Practice

NPI 1285806265

Doctor of Dental Surgery

Dr. Colin Haley , DDS

Dentist - General Practice

NPI 1487846234

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 January 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2017

Registered at 12200 WESTERN AVE, BLUE ISLAND, IL 604061398 (Tel: 7083853700)

📍
Updated Business Mailing Address January 26, 2017

Registered at 12200 WESTERN AVE, BLUE ISLAND, IL 604061398 (Tel: 7083853700)

👤
Provider Name / Credentials Updated January 26, 2017

Recorded as SHEBA KHAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2017

Dentist (License #019030558 in IL)

NPI Profile Active April 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2015

Registered at 1 BAY AVENUE, GLEN RIDGE, NJ 070281505 (Tel: 9734296000)

📍
Updated Business Mailing Address April 15, 2015

Registered at 1 BAY ST, GLEN RIDGE, NJ 070281505 (Tel: 9734296000)

👤
Provider Name / Credentials Updated April 15, 2015

Recorded as SHEBA KHAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 15, 2015

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: 1295121341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2015
Last Update: January 26, 2017
Sole Proprietor: No

Mailing Address

12200 Western Ave

Blue Island, IL 604061398

Phone: 7083853700

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.