DR. KHALID HASSAN MUTAWALLI D.D.S,M.S
NPI 1750754818
Dentist - Pediatric Dentistry in Davie, FL

Q: What is Khalid Mutawalli's NPI number?

The NPI number for Khalid Mutawalli is 1750754818. It was assigned to this individual provider in the NPPES registry on November 10, 2015.

Q: What is Khalid Mutawalli's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Khalid Mutawalli was last updated on September 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 10, 2015

3625 COLLEGE AVE, BX1822, DAVIE, FL 33314(202) 560-3320 Get Directions Write a Review

NPPES record last updated: September 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Khalid Hassan Mutawalli D.d.s,m.s NPPES

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

DR. KHALID HASSAN MUTAWALLI D.D.S,M.S (NPI 1750754818) is an individual pediatric dentistry provider in Davie, Florida, licensed in Florida (DN 20908) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1750754818

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. KHALID HASSAN MUTAWALLICredential: D.D.S,M.S

Location Address3625 COLLEGE AVE, BX1822Davie, FL 33314-7724

Mailing Address215 Se 8th Ave, Apt#1640Fort Lauderdale, FL 33301-3644 · (202) 560-3320

Phone(202) 560-3320

Sole ProprietorYes

Enumeration DateNovember 10, 2015

Last NPPES UpdateSeptember 10, 2016

✔ NPI 1750754818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in FL · DN 20908

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3625 COLLEGE AVE, Davie, FL 33314

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Accepted Insurance

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

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 Khalid Mutawalli's NPI number?

The NPI number for Khalid Mutawalli is 1750754818. It was assigned to this individual provider in the NPPES registry on November 10, 2015.

Where is Khalid Mutawalli located?

Khalid Mutawalli practices at 3625 College Ave Bx1822, Davie, FL 33314. The listed phone number is (202) 560-3320.

What is Khalid Mutawalli's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Khalid Mutawalli accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Khalid Mutawalli 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 Khalid Mutawalli was last updated on September 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.