KHALIFEH DENTAL GROUP NPI 1043056476

NPI Information

  • NPI: 1043056476
  • Provider Name: KHALIFEH DENTAL GROUP
  • Classification: Dentist - 1223X2210X
  • Specialization: Orofacial Pain
  • Entity Type: Organization
  • Address: 5757 WILSHIRE BLVD
    PR5
    LOS ANGELES, CA
    ZIP 90036
  • Phone: (323) 933-3855

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NPI Details

KHALIFEH DENTAL GROUP is an orofacial pain dentist in Los Angeles, CA. The provider is a dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain. KHALIFEH DENTAL GROUP NPI is 1043056476. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5757 WILSHIRE BLVD
PR5
LOS ANGELES, CA
ZIP 90036-810
Phone: (323) 933-3855

The provider's authorized official is Mohammad Khalifeh .
The authorized official title is Ceo and has the following contact phone number (323) 933-3855.

The enumeration date for this NPI number is 7/4/2024 and was last updated on 7/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223X2210XDentistOrofacial PainYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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