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

Mr. Mahamid Ali Khan, DMD

Individual provider Dentist · NPI 1164424016

Mr. Mahamid Ali Khan, DMD is a Dentist in Berwyn, Illinois. Works from 2 locations. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

6447 Cermak Rd
Berwyn, IL 60402-2311
Phone: (773) 254-1400
Fax: (312) 829-6375
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5701 Delmar Blvd, Saint Louis, MO 63112-2617 — (314) 367-7848

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019024670 (IL)
Dentist Taxonomy 122300000X · Licence 2005002250 (MO)

Record details

NPI number1164424016
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESJuly 2, 2021
Certification dateJuly 2, 2021

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