# ALKHAWAM DENTAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942120779
- **Authorized official:** DR. YAZAN AHMAD ALKHAWAM DDS (GENERAL DENTIST)
- **Authorized official phone:** (201) 723-0219

## Contact information

- **Practice address:** 360 MAIN ST, SOUTH AMBOY, NJ 08879-1634
- **Practice address phone:** (732) 721-1166
- **Mailing address:** 307 MAIN ST, SOUTH AMBOY, NJ 08879-1602
- **Mailing address phone:** (201) 723-0219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2026
- **Last updated:** 07/20/2026