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

Dr. Moid Khan, DDS

Individual provider General Practice Dentistry · NPI 1629593793

Dr. Moid Khan, DDS is a General Practice Dentistry in Lodi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
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.

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Practice location Address checks out

1104 S Fairmont Ave
Lodi, CA 95240-5542
Phone: (209) 369-3657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 101812 (CA)

Record details

NPI number1629593793
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 9, 2017
Last updated in NPPESOctober 2, 2017
Mailing addressPo Box 622, West Sacramento, CA 95691-0622

Other providers in Lodi