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Contact Information

S A KHAN, DDS
6729 LAKE ROAD
WINDSOR, WI53598
 Phone: 608-846-5407
 Fax: 608-846-2493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for S A KHAN · (Male)

NPI Number 1356564249
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/10/2007
Last updated 11/11/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 5004044
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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