Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KHASHAYAR KHODADOUSTAN, DDS
ActiveDR. KHASHAYAR KHODADOUSTAN, DDS is a General Dentistry healthcare provider located in GLENCOE, Minnesota. NPI 1598505083 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GLENCOE, MN
Registration Details
- NPI Number
- 1598505083
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2024 (2.2224072794519 yrs)
- Last Updated
- May 30, 2024
- License
-
D15073 (MN)
Practice Information
- Address
-
1126 IVES AVE NGLENCOE, MN, 553362226Browse MN providers · Browse ZIP 55336
- Phone
- 3208643215
- Fax
- 3208642768
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GLENCOE, MN
| Name | Credential | NPI |
|---|---|---|
| MERRILL D NELSON | DDS | 1790863751 |
| DR. WILLIAM JOHN DUNBAR | D.D.S. | 1598839508 |
| DR. BRENT WILLARD OLSON | D.D.S. | 1437275013 |
| SHAWN DONALD KNORR | DDS | 1578763116 |
| GWEN REGNIER | DMD | 1568815298 |
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.