Individual
DR. AMMAR A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5001
(904) 542-3500
Mailing address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5001
(904) 542-3500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14190235-9926
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2023
Last updated
07/17/2026
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