DR. TARA KHAMO D.D.S
NPI 1639521404
Dentist in Cleveland, OH

Active since July 06, 2016
4071 LEE RD STE 260, CLEVELAND, OH 44128(216) 861-6200(216) 363-7490 Get Directions Write a Review

NPPES record last updated: June 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2019, Feb 6, 2017 (2 updates tracked since 2017).

About Dr. Tara Khamo D.d.s NPPES

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

DR. TARA KHAMO D.D.S (NPI 1639521404) is an individual dentist in Cleveland, Ohio, licensed in California (100221) and active in the NPI registry since July 2016. She maintains a secondary practice location in Lemon Grove.

NPPES Registry Identity

NPI1639521404
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. TARA KHAMOCredential: D.D.S
Location Address4071 LEE RD STE 260Cleveland, OH 44128-2173
Mailing Address4071 Lee Rd Ste 260Cleveland, OH 44128-2173 · (216) 861-6200 · Fax (216) 363-7490
Fax(216) 363-7490
Sole ProprietorNo
Enumeration DateJuly 6, 2016
Last NPPES UpdateJune 15, 20192 updates tracked since enumeration
NPI 1639521404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 100221
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License RES.004134 (OH)
4071 LEE RD STE 260, Cleveland, OH 44128

Secondary Practice Location 1

Location 17967 BroadwayLemon Grove, CA 91945-1809 · Phone (619) 280-4213

Accepted Insurance

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD STE 260
CLEVELAND, OH 44128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639521404, enumerated as an "individual" on July 06, 2016.

The provider is located at 4071 LEE RD STE 260 CLEVELAND, OH 44128 and the phone number is (216) 861-6200.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Renaissance Dental and TRUASSURE INSURANCE COMPANY. Please consult your insurance carrier or call the provider to verify.