SKK Dental PLLC Dba Liberty Dental Arts

Primary specialty

DentistTaxonomy code 122300000X

License

042165 Issued in NY

Legal business name

SKK DENTAL PLLC DBA LIBERTY DENTAL ARTS

Practice address

2749 W Ridge Rd
Rochester, NY 14626-3038

Phone

(585) 343-2090

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Samir K Khalil, DDSNPI 1063500148

Title

Dentist

Phone

(585) 434-2090

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samir K Khalil, DDS

  • Dentist
  • Rochester, NY
  • NPI 1063500148
  NPD Authorized official

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1497295679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 W RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263038",
            "telephone_number": "585-343-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 W RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263038",
            "telephone_number": "585-343-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKK DENTAL PLLC DBA LIBERTY DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "585-434-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "042165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise L Skinner, LPN
• Kristin A Skinner, M.D.
• Monica J Skinner
• Ronnetta Skinner, LPN
• Skip of New York
• Lori Ann Skolny
• Marvin Skorman, LMHC
• Barbara A. Skornia, LCSW-R
• Abigail Joanna Skosowski (Kapsack), MD
• Rebecca Lynn Skovgaard, CNM

• Dentist in Rochester, NY
• Providers in Rochester, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.