Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669994232 Individual Practitioner Male Practitioner

Dr. George Khazoum , DDS

Dentist • Champaign, IL

Professional Overview & Biography Verified Profile Summary

Dr. George Khazoum, DDS is a registered healthcare professional specializing in Dentist in Champaign, IL. Practice services are available at 1905 CONVENIENCE PL STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1905 Convenience Pl Ste A

Champaign, IL 618208927

Telephone 2173555165
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Champaign, IL

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

Practicing in Champaign, 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 019.031429

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License FL 22897

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019.031429

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License FL 22897

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

4 Associated Practitioners
Dr. Najee Harris , DMD

Dentist - General Practice

NPI 1306405303

Doctor of Dental Medicine

NPI 1457918716
NPI 1689598260

Doctor of Dental Medicine

NPI 1851420475

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 21, 2019

Registered at 1905 CONVENIENCE PL STE A, CHAMPAIGN, IL 618208927 (Tel: 2173555165)

📍
Updated Business Mailing Address April 21, 2019

Registered at 1905 CONVENIENCE PL STE A, CHAMPAIGN, IL 618208927 (Tel: 2173555165)

NPI Profile Active July 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2017

Registered at 4673 SW 75TH WAY, DAVIE, FL 33314 (Tel: (217) 417-7435)

📍
Updated Business Mailing Address July 14, 2017

Registered at 4673 SW 75TH WAY, DAVIE, FL 333144113 (Tel: 2174177435)

👤
Provider Name / Credentials Updated July 14, 2017

Recorded as GEORGE KHAZOUM, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2017

Dentist (License #22897 in FL)

🟢
Initial NPI Registration & Enumeration July 14, 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: 1669994232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2017
Last Update: April 21, 2019
Sole Proprietor: Yes

Mailing Address

1905 Convenience Pl Ste A

Champaign, IL 618208927

Phone: 2173555165

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.