Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jan A Khorsandi, DMDPC

Individual provider Dentist · NPI 1619951647

Dr. Jan A Khorsandi, DMDPC is a Dentist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

1874 Clove Rd
Staten Island, NY 10304-1637
Phone: (718) 273-0212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 051098L (NY)

Record details

NPI number1619951647
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDPC
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESJuly 8, 2007

Other providers in Staten Island