Individual provider · Type 1 NPI
Khashayar Khodadoustan, DDS
General Practice Dentistry · Glencoe, MN
NPI number
1598505083
Active
Practice location
1126 Ives Ave N
Glencoe, MN 55336-2226
Fax (320) 864-2768
Mailing address
1738 Palisade Cir
Eagan, MN 55122-1721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D15073 (MN) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5 other providers at this address
- Gwen Regnier DMD PLLCDental Clinic/Center Glencoe, MN NPI 1821604935
- Brent Willard Olson, DDSGeneral Practice Dentistry Glencoe, MN NPI 1437275013
- Gwen Regnier, DMDGeneral Practice Dentistry Glencoe, MN NPI 1568815298
- Sheri Solseng Trif, RDH, MSDTDental Therapist Glencoe, MN NPI 1730531906
- William John Dunbar, DDSGeneral Practice Dentistry Glencoe, MN NPI 1598839508
Other general practice dentistry providers in Glencoe
- Brent Willard Olson, DDSGeneral Practice Dentistry Glencoe, MN NPI 1437275013
- Gwen Regnier, DMDGeneral Practice Dentistry Glencoe, MN NPI 1568815298
- Shawn Donald Knorr, DDSGeneral Practice Dentistry Glencoe, MN NPI 1578763116
- William John Dunbar, DDSGeneral Practice Dentistry Glencoe, MN NPI 1598839508
- Merrill D. Nelson, DDSGeneral Practice Dentistry Glencoe, MN NPI 1790863751
About NPI 1598505083
Khashayar Khodadoustan, DDS's National Provider Identifier is 1598505083, issued on May 30, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glencoe, MN. The record was last updated on May 30, 2024.