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

Dr. Moid Khan, DDS

Individual provider General Practice Dentistry · NPI 1629593793

Dr. Moid Khan, DDS is a General Practice Dentistry in Lodi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
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.

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Practice location Address checks out

1104 S Fairmont Ave
Lodi, CA 95240-5542
Phone: (209) 369-3657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 101812 (CA)

Record details

NPI number1629593793
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 9, 2017
Last updated in NPPESOctober 2, 2017

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