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

Dr. Khashayar Khodadoustan, DDS

Individual provider General Practice Dentistry · NPI 1598505083

Dr. Khashayar Khodadoustan, DDS is a General Practice Dentistry in Glencoe, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1126 Ives Ave N
Glencoe, MN 55336-2226
Phone: (320) 864-3215
Fax: (320) 864-2768
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D15073 (MN)

Record details

NPI number1598505083
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 30, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address1738 Palisade Cir, Eagan, MN 55122-1721

Other providers in Glencoe