Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK I KHAIMOV, DDS
Active Sole ProprietorDR. MARK I KHAIMOV, DDS is a Periodontology healthcare provider located in NUTLEY, New Jersey. NPI 1477614162 is currently active in the NPPES registry. Verify at CMS.
Periodontology · NUTLEY, NJ
Registration Details
- NPI Number
- 1477614162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.482005003572 yrs)
- Last Updated
- Jul 18, 2016
- License
-
2249201 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
180 CENTRE STNUTLEY, NJ, 071102828Browse NJ providers · Browse ZIP 07110
- Phone
- 9737982639
- Fax
- 9737982640
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in NUTLEY, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. WAYNE ALLEN ALDREDGE | DMD | 1982615647 |
| DR. RICHARD NEJAT | DDS | 1356445050 |
| DR. EUGENIE EUNKYUNG LEE | D.M.D., M.S. | 1548545676 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.