Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952146953 Individual Practitioner Male Practitioner

Dr. Omer N Khan , DMD

Dentist - General Practice • Lisle, IL

Professional Overview & Biography Verified Profile Summary

Dr. Omer Khan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lisle, IL. Practice services are available at 4746 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4746 Main St

Lisle, IL 605321724

Telephone 6309685078
Associated Practice Facility / Clinic
🏢 Prairie Dental Partners Llc Facility NPI 1669935193

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lisle, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Lisle, IL (5581 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: 2024-07-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.035259

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

2 Associated Practitioners
NPI 1417124686
Dr. Michael Moore , DDS

Dentist - General Practice

NPI 1811089881

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 01, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2024

Registered at 4746 MAIN ST, LISLE, IL 605321724 (Tel: 6309685078)

📍
Updated Business Mailing Address July 01, 2024

Registered at 4746 MAIN ST, LISLE, IL 605321724 (Tel: 6039685078)

👤
Provider Name / Credentials Updated July 01, 2024

Recorded as OMER KHAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2024

Dentist (License #019.035259 in IL)

🟢
Initial NPI Registration & Enumeration July 01, 2024

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: 1952146953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2024
Last Update: July 01, 2024
Sole Proprietor: No

Mailing Address

4746 Main St

Lisle, IL 605321724

Phone: 6039685078

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.