Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952467334 Individual Practitioner Male Practitioner

Dr. Wali Khan , DDS

Dentist - General Practice • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Wali Khan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bronx, NY. Practice services are available at 1221 WHITE PLAINS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1221 White Plains Rd
Suite 106

Bronx, NY 104724937

Telephone 7187926991
Fax 7187920654
Associated Practice Facility / Clinic
🏢 Abc Dental Pc Facility NPI 1295161081

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
378 Specialists

Practicing in Bronx, NY (8411 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 NY 045003

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01471549 (NY)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1689883910

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 September 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2012

Registered at 1221 WHITE PLAINS RD, SUITE 106, BRONX, NY 104724937 (Tel: 7187926991)

📍
Updated Business Mailing Address September 19, 2012

Registered at 3733 77TH ST, JACKSON HEIGHTS, NY 113726629 (Tel: 7184786100)

👤
Provider Name / Credentials Updated September 19, 2012

Recorded as WALI KHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2012

Dentist (License #045003 in NY)

🟢
Initial NPI Registration & Enumeration December 29, 2006

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: 1952467334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2006
Last Update: September 19, 2012
Sole Proprietor: Yes

Mailing Address

3733 77th St

Jackson Heights, NY 113726629

Phone: 7184786100

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.