P Praxis·MD
● Active Type 1 · Individual

Khaldoun F Al-Ajlouni, DDS PA

Dentist·Southlake, TX· NPI 1033373113 · Enumerated 2008 · 17 years on NPI
Al-Ajlouni is 1 of 3 dentist providers in Southlake and 1 of 401 in Texas.
NPI age
17 years
Enumerated 2008-07-17
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
TX, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-05-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 401 active dentist providers in Texas.

NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Practice location
100 W Southlake Blvd, Ste 146
Southlake, TX 760926100
📞 8172519333fax 8172519320
Mailing address
100 W Southlake Blvd, Ste 146
Southlake, TX 760926100
📞 8172519333fax 8172519320

Specialties

  • Dentist Primary
    That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and...
    TX license #22403IL license #22403 taxonomy 1223P0700X
  • Dentist
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    TX license #22403 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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