Provider Demographics
NPI:1033980495
Name:KHONDOKER AND ASSOCIATES PLLC
Entity type:Organization
Organization Name:KHONDOKER AND ASSOCIATES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KHONDOKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-887-2744
Mailing Address - Street 1:19911 ZION AVE STE D4
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8877
Mailing Address - Country:US
Mailing Address - Phone:704-887-2744
Mailing Address - Fax:929-600-9712
Practice Address - Street 1:19911 ZION AVE STE D4
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8877
Practice Address - Country:US
Practice Address - Phone:704-887-2744
Practice Address - Fax:929-600-9712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No122300000XDental ProvidersDentistGroup - Single Specialty