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Active NPI 1336700046 Individual Practitioner Male Practitioner

Dr. Mustajab Khalil , DMD

Dentist - General Practice • Deptford, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Mustajab Khalil, DMD is a registered healthcare professional specializing in Dentist - General Practice in Deptford, NJ. Practice services are available at 1450 CLEMENTS BRIDGE RD STE 13 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1450 Clements Bridge Rd Ste 13

Deptford, NJ 080963068

Telephone 8563220536

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Deptford, NJ

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

Practicing in Deptford, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02761100

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 PA DS042225

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.

Secondary Practice Locations

2 Sheppard Rd Ste 100

Voorhees, NJ 080434787

Phone: 8563220537

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Ryan Fitzpatrick , DDS

Dentist - General Practice

NPI 1790409084

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 June 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2019

Registered at 1450 CLEMENTS BRIDGE RD STE 13, DEPTFORD, NJ 080963068 (Tel: 8563220536)

📍
Updated Business Mailing Address June 24, 2019

Registered at 121 S 43RD ST APT 402, PHILADELPHIA, PA 191043195 (Tel: 2676027211)

👤
Provider Name / Credentials Updated June 24, 2019

Recorded as MUSTAJAB KHALIL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2019

Dentist (License #DS042225 in PA)

🟢
Initial NPI Registration & Enumeration June 24, 2019

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: 1336700046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2019
Last Update: June 24, 2019
Sole Proprietor: No

Mailing Address

121 S 43rd St Apt 402

Philadelphia, PA 191043195

Phone: 2676027211

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.