Individual
ANUM AHMED KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
319 LYNNWAY, LYNN, MA 01901-1811
(781) 599-5437
Mailing address
7 SEQUOIA DR, WILMINGTON, MA 01887-2578
(518) 389-8263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901600557
MI
122300000X
Dentist
35702
TX
122300000X
Dentist
DN1857982
MA
1223G0001X
General Practice Dentistry
12850
CT
1223G0001X
General Practice Dentistry
Primary
DN1857982
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2018
Last updated
04/07/2026
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