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GEORGE KHAZOUM D.D.S
NPI 1669994232
Dentist in Champaign, IL

Active since July 14, 2017
1905 CONVENIENCE PL STE A, CHAMPAIGN, IL 61820(217) 355-5165 Get Directions Write a Review

NPPES record last updated: April 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2019, Jul 14, 2017 (2 updates tracked since 2017).

About George Khazoum D.d.s NPPES

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

GEORGE KHAZOUM D.D.S (NPI 1669994232) is an individual dentist in Champaign, Illinois, licensed in Illinois (019.031429) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1669994232
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameGEORGE KHAZOUMCredential: D.D.S
Location Address1905 CONVENIENCE PL STE AChampaign, IL 61820-8927
Mailing Address1905 Convenience Pl Ste AChampaign, IL 61820-8927 · (217) 355-5165
Phone(217) 355-5165
Sole ProprietorYes
Enumeration DateJuly 14, 2017
Last NPPES UpdateApril 21, 20192 updates tracked since enumeration
✔ NPI 1669994232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in IL · 019.031429✔ Licensed in FL · 22897
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 019.031429 (IL), 22897 (FL)
1905 CONVENIENCE PL STE A, Champaign, IL 61820
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

EFRAIN ALVARADO VARGAS
Dentist
1905 CONVENIENCE PL STE A
CHAMPAIGN, IL 61820
Champaign County (217) 275-5813
DR. NAJEE HARRIS DMD
Dentist (General Practice)
1905 CONVENIENCE PL STE A
CHAMPAIGN, IL 61820
Champaign County (217) 355-5165
TEJPALSINH JADEJA
Dentist
1905 CONVENIENCE PL STE A
CHAMPAIGN, IL 61820
Champaign County (217) 355-5165

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 George Khazoum's NPI number?

The NPI number for George Khazoum is 1669994232. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is George Khazoum located?

George Khazoum practices at 1905 Convenience Pl Ste A, Champaign, IL 61820. The listed phone number is (217) 355-5165.

What is George Khazoum's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does George Khazoum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter of Alabama and BEST Life and 13 other insurers list George Khazoum 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 George Khazoum was last updated on April 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.