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

Mujtaba Khan

Individual provider Dentist · NPI 1093260366

Mujtaba Khan is a Dentist in Green Bay, Wisconsin. Licensed in Indiana and Wisconsin. Registered with an NPI since 2016.

Licensed in
IN, WI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1931 Main St
Green Bay, WI 54302-3920
Phone: (920) 499-2770
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1001454-15 (WI)
Dentist Taxonomy 122300000X · Licence 12012588A (IN)

Record details

NPI number1093260366
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2016
Last updated in NPPESJanuary 26, 2017

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