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Active NPI 1093260366 Individual Practitioner Male Practitioner

Mujtaba Khan

Dentist • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Mujtaba Khan is a registered healthcare professional specializing in Dentist in Green Bay, WI. Practice services are available at 1931 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1931 Main St

Green Bay, WI 543023920

Telephone 9204992770
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Green Bay, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
56 Specialists

Practicing in Green Bay, WI (1850 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WI 1001454-15

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 IN 12012588A

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Muhaned Elhindi , DMD

Dentist - General Practice

NPI 1265167134

Doctor of Dental Medicine

Dr. Deep Thakker , DDS

Dentist - General Practice

NPI 1427896646

Doctor of Dental Surgery

Dr. Jungik Hong , DMD

Dentist - General Practice

NPI 1841800547

Doctor of Dental Medicine

NPI 1912717877

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2017

Registered at 1931 MAIN ST, GREEN BAY, WI 543023920 (Tel: 9204992770)

📍
Updated Business Mailing Address January 26, 2017

Registered at 2345 SUNNY LANE, APT P, GREEN BAY, WI 54313 (Tel: 3165739707)

👤
Provider Name / Credentials Updated January 26, 2017

Recorded as MUJTABA KHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2017

Dentist (License #1001454-15 in WI)

NPI Profile Active August 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2016

Registered at 2 EXECUTIVE DR, LAFAYETTE, IN 479054878 (Tel: 7658076666)

📍
Updated Business Mailing Address August 16, 2016

Registered at 2 EXECUTIVE DR, LAFAYETTE, IN 479054878 (Tel: 7658076666)

👤
Provider Name / Credentials Updated August 16, 2016

Recorded as MUJTABA KHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2016

Dentist (License #12012588A in IN)

🟢
Initial NPI Registration & Enumeration August 16, 2016

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: 1093260366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2016
Last Update: January 26, 2017
Sole Proprietor: No

Mailing Address

2345 Sunny Lane, Apt P

Green Bay, WI 54313

Phone: 3165739707

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.