SOUTH VIENNA FAMILY DENTAL, IRFAN KHAN DDS, LLC (NPI# 1215318761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215318761 |
| Entity Type | Organization |
| Organization Name | SOUTH VIENNA FAMILY DENTAL, IRFAN KHAN DDS, LLC |
| Other Organization Name | SOUTH VIENNA FAMILY DENTAL |
| Practice Address |
8490 E National Rd South Vienna OH 45369-9707 |
| Practice Telephone | 9375683302 |
| Practice Fax Number | 9375683304 |
| Mailing Telephone | 9375683302 |
| Mailing Fax Number | 9375683304 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | DR. IRFAN KHAN (OWNER) |
| Authorized Official Telephone | 9375683302 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Vienna Family Dental | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | SOUTH VIENNA FAMILY DENTAL, IRFAN KHAN DDS, LLC | 3250 West Market Street, Suite 205, Fairlawn, OH 44333 |
| Street Address |
8490 E NATIONAL RD |
| City | SOUTH VIENNA |
| State | OH |
| Zip Code | 45369-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477593523 | Shahida A Khan | Family Medicine | 8490 E National Rd, South Vienna, OH 45369-9707 | 2006-06-07 |
| 1942654363 | Aklilu Ameha | Dentist | 8490 E National Rd, South Vienna, OH 45369-9707 | 2016-04-21 |
| 1023416294 | South Vienna Family Dental | Dentist | 8490 E National Rd, South Vienna, OH 45369-9707 | 2014-12-19 |
| 1083807457 | Shahida A Khan Md | Family Medicine | 8490 E National Rd, South Vienna, OH 45369-9707 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922485390 | Lindsay T Artz Lewis | Registered Nurse | 9565 Old Columbus Rd, South Vienna, OH 45369 | 2015-05-05 |
| 1811150196 | Cross Roads Eye Care LLC | Optometrist | 26 South Urbana St, South Vienna, OH 45369 | 2008-07-07 |
| 1871778613 | Melissa Ann Hopkins | Registered Nurse | 14 W. Main Street, South Vienna, OH 45369 | 2007-12-28 |
| 1225053762 | Kristen M Thompson | Optometrist | 26 South Urbana St., South Vienna, OH 45369-0000 | 2006-07-13 |
| 1306907324 | Vienna Enterprises Inc | Skilled Nursing Facility | 125 East National Road, South Vienna, OH 45369-0447 | 2006-12-13 |
| 1811538515 | Hayley Suchland | Specialist/Technologist | 2020 Callahan Rd, South Vienna, OH 45369-7771 | 2019-10-03 |
| 1063645588 | Tuttle Home Health Care | Home Health | 69 Sylvan Shores Dr, South Vienna, OH 45369-8521 | 2009-09-01 |
| 1992074389 | Joann M Rowland | Registered Nurse | 324 Sylvan Shores Dr, South Vienna, OH 45369-8533 | 2011-12-14 |
| 1639658099 | Deborah Kay Hughes | Home Health Aide | 9712 Jones Rd, South Vienna, OH 45369-9553 | 2018-08-07 |
| 1992204879 | Brock Kyle Hodson | Specialist/Technologist | 10830 E National Rd, South Vienna, OH 45369-9720 | 2018-02-06 |
| Find all providers in zip 45369 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 1215549290 | Patel Family Dental LLC | Clinic/Center | 100 Scott Farms Blvd, Marysville, OH 43040-7069 | 2020-08-20 |
| 1245858083 | Jacko & Siefker Dds, LLC | Clinic/Center | 210 Heritage Dr, Wellington, OH 44090-8949 | 2020-07-08 |
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1508499567 | Westlake Endodontics LLC | Clinic/Center | 30400 Detroit Rd Ste 209, Westlake, OH 44145-1855 | 2020-02-18 |
| 1629617980 | Randall Niederkohr,d.d.s,inc. | Clinic/Center | 27 St Lawrence Dr Ste 109, Tiffin, OH 44883-8314 | 2020-01-03 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH VIENNA |
| Zip Code | 45369 |
Please comment or provide details below to improve the information on SOUTH VIENNA FAMILY DENTAL, IRFAN KHAN DDS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.