Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912522095 Individual Practitioner Male Practitioner

Dr. Shan M Khan , DMD

Dentist • Brooklyn, NY

Professional Overview & Biography Verified Profile Summary

Dr. Shan Khan, DMD is a registered healthcare professional specializing in Dentist in Brooklyn, NY. Practice services are available at 1302 KINGS HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1302 Kings Hwy

Brooklyn, NY 112291970

Telephone 7183766700
Associated Practice Facility / Clinic
🏢 Be Healthy Medical Pc Facility NPI 1235204447

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
711 Specialists

Practicing in Brooklyn, NY (6355 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: 2022-04-21
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 061762-01

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License AR 4424

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

573 E Fordham Rd

Bronx, NY 104585063

Phone: 9179629990

132 Sugarberry Dr

New Castle, DE 197207629

Phone: 3026503810

586 Morris Ave

Bronx, NY 104515172

Phone: 6464017878

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1346574878

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 21, 2022

Registered at 1302 KINGS HWY, BROOKLYN, NY 112291970 (Tel: 7183766700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2022

Dentist (License #061762-01 in NY)

📍
Updated Practice Location July 19, 2021

Registered at 573 E FORDHAM RD, BRONX, NY 104585063 (Tel: 9179629990)

📍
Updated Business Mailing Address July 19, 2021

Registered at 282 S 5TH ST APT 13C, BROOKLYN, NY 112116602 (Tel: 3026503810)

NPI Profile Active June 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2020

Registered at 1100 N COLLEGE AVE, FAYETTEVILLE, AR 727031944 (Tel: 3026503810)

📍
Updated Business Mailing Address June 14, 2020

Registered at 132 SUGARBERRY DR, NEW CASTLE, DE 197207629 (Tel: 3026503810)

👤
Provider Name / Credentials Updated June 14, 2020

Recorded as SHAN KHAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2020

Dentist (License #4424 in AR)

🟢
Initial NPI Registration & Enumeration June 14, 2020

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: 1912522095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2020
Last Update: April 21, 2022
Sole Proprietor: No

Mailing Address

282 S 5th St Apt 13c

Brooklyn, NY 112116602

Phone: 3026503810

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.