Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark I Khaimov, DDS

Individual provider Periodontics · NPI 1477614162

Dr. Mark I Khaimov, DDS is a Periodontics in Nutley, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

180 Centre St
Nutley, NJ 07110-2828
Phone: (973) 798-2639
Fax: (973) 798-2640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 2249201 (NJ)

Record details

NPI number1477614162
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 13, 2006
Last updated in NPPESJuly 18, 2016

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