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

Individual provider Prosthodontics · NPI 1578101630

Maryam Khalili, DDS-PROSTHODONTIST is a Prosthodontics in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania, Texas and Virginia.

Licensed in
PA, TX, VA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

3223 N Broad St Ofc 314
Philadelphia, PA 19140-5007
Phone: (773) 807-9934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 545 N Broad St, Philadelphia, PA 19123-3592 — (215) 874-7611

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence DS045634 (PA)
Dentist Taxonomy 122300000X · Licence 34590 (TX)
Dentist Taxonomy 122300000X · Licence 0401416303 (VA)

Record details

NPI number1578101630
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS-PROSTHODONTIST
Sole proprietorNo
NPI enumeratedDecember 19, 2019
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

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