Provider Demographics
NPI:1740619089
Name:KHAN, MUHAMMAD ADNAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:ADNAN
Last Name:KHAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13841 HULL STREET RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2056
Mailing Address - Country:US
Mailing Address - Phone:804-739-6818
Mailing Address - Fax:804-818-3931
Practice Address - Street 1:13841 HULL STREET RD STE 5
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2056
Practice Address - Country:US
Practice Address - Phone:804-739-6818
Practice Address - Fax:804-818-3931
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401415832122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist