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DR. MOID KHAN DDS
NPI 1629593793
Dentist - General Practice in Lodi, CA

Active since August 09, 2017
1104 S FAIRMONT AVE, LODI, CA 95240(209) 369-3657 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Moid Khan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MOID KHAN DDS (NPI 1629593793) is an individual general practice provider in Lodi, California, licensed in California (101812) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1629593793
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MOID KHANCredential: DDS
Location Address1104 S FAIRMONT AVELodi, CA 95240-5542
Mailing AddressPo Box 622West Sacramento, CA 95691-0622 · (916) 505-0810
Phone(209) 369-3657
Sole ProprietorYes
Enumeration DateAugust 9, 2017
Last NPPES UpdateOctober 2, 2017
✔ NPI 1629593793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 101812
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1104 S FAIRMONT AVE, Lodi, CA 95240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID A NEAL, DDS A PROFESSIONAL CORPORATION
Clinic/Center (Dental)
1104 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 369-3657
DR. DAVID ALLEN NEAL D.D.S.
Dentist
1104 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 369-3657
DR. MADISON TAYLOR HITTLE DDS
Dentist
1104 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 369-3657
DR. CHRISTINE TRAN DDS
Dentist
1104 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 369-3657
DR. MARY E. HOFF D.D.S.
Dentist (General Practice)
1104 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 369-3657
DR. NEEKA GORGANI DDS
Dentist
1104 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 369-3657

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moid Khan's NPI number?

The NPI number for Moid Khan is 1629593793. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Where is Moid Khan located?

Moid Khan practices at 1104 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 369-3657.

What is Moid Khan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Moid Khan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Moid Khan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moid Khan was last updated on October 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.