Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952152761 Individual Practitioner Male Practitioner

Dr. Shady A Khalil , DMD

Dentist - General Practice • Cliffside Park, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Shady Khalil, DMD is a registered healthcare professional specializing in Dentist - General Practice in Cliffside Park, NJ. Practice services are available at 608 ANDERSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

608 Anderson Ave

Cliffside Park, NJ 070101858

Telephone 2019177977
Associated Practice Facility / Clinic
🏢 George Dawoud, D.d.s., Llc Facility NPI 1669083572

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cliffside Park, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Cliffside Park, NJ (4316 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: 2026-01-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI03044700

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 1477075125

Doctor of Dental Surgery

NPI 1801230800

LACMSTOM, COS

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 30, 2026

Registered at 608 ANDERSON AVE, CLIFFSIDE PARK, NJ 070101858 (Tel: 2019177977)

📍
Updated Business Mailing Address January 30, 2026

Registered at 608 ANDERSON AVE, CLIFFSIDE PARK, NJ 070101858

👤
Provider Name / Credentials Updated January 30, 2026

Recorded as SHADY KHALIL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2026

Dentist (License #22DI03044700 in NJ)

NPI Profile Active March 29, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2024

Registered at 201 LYONS AVE, NEWARK, NJ 071122027 (Tel: 9739267642)

📍
Updated Business Mailing Address March 29, 2024

Registered at 201 LYONS AVE, NEWARK, NJ 071122027

👤
Provider Name / Credentials Updated March 29, 2024

Recorded as SHADY KHALIL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 29, 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: 1952152761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2024
Last Update: January 30, 2026
Sole Proprietor: Yes

Mailing Address

608 Anderson Ave

Cliffside Park, NJ 070101858

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.