Provider Demographics
NPI:1831080027
Name:KHUFFASH, AMJAD (DMD)
Entity type:Individual
Prefix:
First Name:AMJAD
Middle Name:
Last Name:KHUFFASH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5912 N 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4705
Mailing Address - Country:US
Mailing Address - Phone:956-205-5990
Mailing Address - Fax:
Practice Address - Street 1:117 E GRIFFIN PKWY
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-2909
Practice Address - Country:US
Practice Address - Phone:956-413-7541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41625122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist