Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730596891 Individual Practitioner Male Practitioner

Dr. Zia Ullah Khan , DDS

Dentist • Centerville, IN

Professional Overview & Biography Verified Profile Summary

Dr. Zia Khan, DDS is a registered healthcare professional specializing in Dentist in Centerville, IN. Practice services are available at 100 MATTIE HARRIS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Mattie Harris Rd

Centerville, IN 473301335

Telephone 7658553435
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Centerville, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Centerville, IN (1682 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: 2026-05-05
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 019029965

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.

Secondary Practice Locations

2200 W Main St

Richmond, IN 473743882

Phone: 7659739294

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Charles Hanneman , DDS

Dentist - General Practice

NPI 1891805883

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address May 05, 2026

Registered at 2200 W MAIN ST, RICHMOND, IN 473743882 (Tel: 7659739294)

📍
Updated Practice Location August 30, 2022

Registered at 100 MATTIE HARRIS RD, CENTERVILLE, IN 473301335 (Tel: 7658553435)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2022

Dentist (License #019029965 in IN)

NPI Profile Active February 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2015

Registered at 6215 E STATE ST, ROCKFORD, IL 611082514 (Tel: 3122744530)

📍
Updated Business Mailing Address February 11, 2015

Registered at 350 N. CLARK STREET, 6TH FLOOR, DENTAL DREAMS LLC, CHICAGO, IL 60654 (Tel: 3122744530)

👤
Provider Name / Credentials Updated February 11, 2015

Recorded as ZIA KHAN, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2015

Dentist (License #019029965 in IL)

🟢
Initial NPI Registration & Enumeration July 21, 2014

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: 1730596891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2014
Last Update: May 05, 2026
Sole Proprietor: Yes

Mailing Address

2200 W Main St

Richmond, IN 473743882

Phone: 7659739294

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.