SK Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D06987 Issued in AZ

Legal business name

SK DENTAL LLC

Practice address

15288 W Brookside LN
Building D Suite 131
Surprise, AZ 85374-3990

Phone

(623) 251-4346

Fax

(623) 251-4767

NPI assigned

May 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sabrina Dhanjal, D.D.S.

Title

Owner

Phone

(623) 251-4346

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Protection Plus Dental Doing business as

Tax ID family

Protection Plus Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Protection Plus Dental Center Inc

  • Dental Clinic/Center
  • Avondale, AZ
  • NPI 1598737660
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1033520671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15288 W BROOKSIDE LN",
            "address_2": "BUILDING D SUITE 131",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743990",
            "telephone_number": "623-251-4346",
            "fax_number": "623-251-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15288 W BROOKSIDE LN",
            "address_2": "BUILDING D SUITE 131",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743990",
            "telephone_number": "623-251-4346",
            "fax_number": "623-251-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "DHANJAL",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-251-4346",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D06987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "735948",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Protection Plus Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tonja Rae Singleton, LCSW, LMSW
• Elizabeth Ann Sinish, P.T.
• Tanya Marie Sintas
• Mark C Sivakoff, MD
• Ganesh Sivarajan, MD
• Caitlin Virginia Skeens, LPC, PMH-C
• Jamie Skojec
• Jeana Leigh Skora, PHARMD
• Teresa Lynne Slager, PA-C
• Pia Slavin

• Dental Clinic/Center in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.