Provider Demographics
NPI:1548955883
Name:AMIT KHANNA DMD LLC
Entity type:Organization
Organization Name:AMIT KHANNA DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DMD
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-373-3230
Mailing Address - Street 1:44210 AIRPORT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20636-3159
Mailing Address - Country:US
Mailing Address - Phone:301-373-3230
Mailing Address - Fax:301-373-3057
Practice Address - Street 1:44210 AIRPORT VIEW DR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:MD
Practice Address - Zip Code:20636-3159
Practice Address - Country:US
Practice Address - Phone:301-373-3230
Practice Address - Fax:301-373-3057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental