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Dr. Samia Khan, D.D.S.

Dentist, General Practice in Crest Hill, IL. Individual provider (NPI-1).

NPI number1760628416
StatusActive
Last updated in NPPESDec 31, 2008

Details

NPI
1760628416
Entity type
Individual (NPI-1)
Name
Dr. Samia Khan
Credential
D.D.S.
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 31, 2008
Last updated
Dec 31, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Yes · ORDER AND REFERRING ONLY - DENTIST
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice019027850ILYes

Practice location

2241 Theodore St
Crest Hill, IL 60403-1881

Phone 815-741-1700

Mailing address

14025 Hunt Club Ln
Plainfield, IL 60544-7382

Phone 415-624-7201

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Dentistry providers in Crest Hill, IL

All 13 General Practice Dentistry providers in Crest Hill · All 269 providers in Crest Hill

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