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

Individual provider General Practice Dentistry · NPI 1639521404

Dr. Tara Khamo, DDS is a General Practice Dentistry in Cleveland, Ohio. Works from 2 locations. Licensed in California and Ohio.

Licensed in
CA, OH
In the registry since
2016
Specialties on file
2
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

4071 Lee Rd Ste 260
Cleveland, OH 44128-2173
Phone: (216) 861-6200
Fax: (216) 363-7490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7967 Broadway, Lemon Grove, CA 91945-1809 — (619) 280-4213

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 100221 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence RES.004134 (OH)

Record details

NPI number1639521404
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 6, 2016
Last updated in NPPESJune 15, 2019
Mailing address4071 Lee Rd Ste 260, Cleveland, OH 44128-2173

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