Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Khaldoun F Al-Ajlouni, DDSPA

Individual provider Dentist · NPI 1033373113

Khaldoun F Al-Ajlouni, DDSPA is a Dentist in Southlake, Texas. Licensed in Illinois and Texas. Registered with an NPI since 2008.

Licensed in
IL, TX
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

100 W Southlake Blvd Ste 146
Southlake, TX 76092-6100
Phone: (817) 251-9333
Fax: (817) 251-9320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 22403 (TX)
Dentist Taxonomy 122300000X · Licence 22403 (TX)
Prosthodontics Taxonomy 1223P0700X · Licence 22403 (IL)

Record details

NPI number1033373113
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSPA
Sole proprietorNo
NPI enumeratedJuly 17, 2008
Last updated in NPPESMay 22, 2019

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