Khalil, Shady A
Khalil, Shady A is an sole proprietor health care provider with primary practice located at 608 Anderson Ave , Cliffside Park NJ 07010-1858. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Khalil, Shady A can be contacted via phone (201) 917-7977.Contact Information
Primary practice address
608 Anderson Ave
Cliffside Park NJ 07010-1858
Phone: (201) 917-7977
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI03044700 | New Jersey |
Profile Details
| NPI number | 1952152761 |
|---|---|
| LBN Legal business name | Khalil, Shady A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2024 |
| Last updated | Jan 30th, 2026 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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