Edward Joseph Skonieczny

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14609 Issued in NC

Practice address

4010 Park Rd
Charlotte, NC 28209-2272

Phone

(704) 525-3939

NPI assigned

Mar 24, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charlotte Emergency Dental Clinic

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1538494356
  NPD (past)

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1528869500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092272",
            "telephone_number": "704-525-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092272",
            "telephone_number": "704-525-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2734 Rozzelles Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282083233",
            "country_code": "US",
            "telephone_number": "704-927-5499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKONIECZNY",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-24",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kyriakos Skiouris, DDS
• Eric Ray Skipper, MD
• Mikal Eric Sklaroff, LPC
• Anja Skljarevski, MD
• Bashia Sheila Sklut, PA
• Megan R Skora
• Matthew D Skorheim, DPT
• Connor Vincent Skowronek, PA-C
• Marina B Skrabalak
• Jacob J Skramstad

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.