Philmont Family Dentistry,PLLC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0506461 Issued in NY

Legal business name

PHILMONT FAMILY DENTISTRY,PLLC.

Practice address

1078 Route 217
Philmont, NY 12565

Phone

(518) 672-4077

Fax

(518) 672-4079

NPI assigned

Jul 21, 2011

Last updated

Jul 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tareq Khalifeh, D.D.SNPI 1447221841

Title

Owner

Phone

(518) 672-4077

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tareq Khalifeh, DDS

  • General Practice Dentistry
  • Philmont, NY
  • NPI 1447221841
  NPD (past) Authorized official

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1285912436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 ROUTE 217",
            "address_2": "PO BOX 817",
            "city": "PHILMONT",
            "state": "NY",
            "postal_code": "12565",
            "telephone_number": "518-672-4077",
            "fax_number": "518-672-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 ROUTE 217",
            "city": "PHILMONT",
            "state": "NY",
            "postal_code": "12565",
            "telephone_number": "518-672-4077",
            "fax_number": "518-672-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILMONT FAMILY DENTISTRY,PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "KHALIFEH",
        "authorized_official_first_name": "TAREQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-672-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0506461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02592221",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia County
• Beth Marie Finkle, LPN
• Margaret Clare Hallisey, L.AC., DIPL.AC
• Hudson Valley Pediatrics
• Tareq Khalifeh, DDS
• Philmont Rescue Squad Inc
• Pine Haven Operating
• The Philmont Hearth, Inc.

• General Practice Dentistry in Philmont, NY
• Providers in Philmont, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.