# KHAN DENTAL-ALUM CREEK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alum Creek Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508464579
- **Authorized official:** DR. ADEEL KHAN D.D.S. (OWNER)
- **Authorized official phone:** (740) 454-9961

## Contact information

- **Practice address:** 4016 ALUM CREEK DR, COLUMBUS, OH 43207-5137
- **Practice address phone:** (614) 409-9404
- **Mailing address:** 830 BETHESDA DR, ZANESVILLE, OH 43701-1895
- **Mailing address phone:** (740) 454-9961
- **Mailing address fax:** (740) 454-1670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2020
- **Last updated:** 10/13/2020