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

Individual provider Dentist · NPI 1013794791

Mohammad Tareq Khadra, DDS is a Dentist in Aurora, Colorado. Practices as a sole proprietor and works from 2 locations. Licensed in California and Colorado.

Licensed in
CA, CO
In the registry since
2023
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

2675 S Abilene St Ste 135
Aurora, CO 80014-2363
Phone: (401) 225-2455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18530 Ambrosio Cir, Corona, CA 92881-3411 — (401) 225-2455

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 109296 (CA)
Dentist Taxonomy 122300000X · Licence 00205725 (CO)

Record details

NPI number1013794791
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 14, 2023
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address18530 Ambrosio Cir, Corona, CA 92881-3411

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