Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326727439 Individual Practitioner Male Practitioner

Dr. Khaled Omar Daifallah , DDS

Dentist - General Practice • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Khaled Daifallah, DDS is a registered healthcare professional specializing in Dentist - General Practice in Dallas, TX. Practice services are available at 4500 S LANCASTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4500 S Lancaster Rd

Dallas, TX 752167167

Telephone 9522155287
Associated Practice Facility / Clinic
🏢 Dallas Vamc Facility NPI 1174572416

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
749 Specialists

Practicing in Dallas, TX (10570 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: 2023-07-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 39764

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

40 Associated Practitioners
Scott Estes , RRT

Respiratory Therapist, Registered

NPI 1003116138

Registered Respiratory Therapist

Joby Linker , RRT

Respiratory Therapist, Registered

NPI 1003116294

Registered Respiratory Therapist

Ashlee Peebles , LCSW

Social Worker - Clinical

NPI 1003558842

Licensed Clinical Social Worker

Julia Evans

Psychologist - Clinical

NPI 1003585845
Jilly Nyangor

Pharmacist

NPI 1003678954
NPI 1003782483

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2023

Registered at 4500 S LANCASTER RD, DALLAS, TX 752167167 (Tel: 9522155287)

📍
Updated Business Mailing Address July 17, 2023

Registered at 430 BUCKINGHAM RD APT 1721, RICHARDSON, TX 750815765 (Tel: 9522155287)

👤
Provider Name / Credentials Updated July 17, 2023

Recorded as KHALED DAIFALLAH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2023

Dentist (License #39764 in TX)

🟢
Initial NPI Registration & Enumeration July 17, 2023

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: 1326727439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2023
Last Update: July 17, 2023
Sole Proprietor: Yes

Mailing Address

430 Buckingham Rd Apt 1721

Richardson, TX 750815765

Phone: 9522155287

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.