MARYAM KHALILI DDS-PROSTHODONTIST NPI 1578101630

NPI Information

NPI: 1578101630
Provider Name: MARYAM KHALILI, DDS-PROSTHODONTIST
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
3223 N BROAD ST OFC 314
PHILADELPHIA, PA
ZIP 19140
Phone: (773) 807-9934
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Maryam Khalili, DDS-PROSTHODONTIST is a prosthodontics dentist in Philadelphia, PA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. Maryam Khalili, DDS-PROSTHODONTIST NPI is 1578101630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3223 N BROAD ST OFC 314
PHILADELPHIA, PA
ZIP 19140-007
Phone: (773) 807-9934

The enumeration date for this NPI number is 12/19/2019 and was last updated on 11/9/2022.

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
1	122300000X	Dentist		34590	TEXAS	No
2	122300000X	Dentist		0401416303	VIRGINIA	No
3	1223P0700X	Dentist	Prosthodontics	RFD000033	PENNSYLVANIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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