Khalilah Syrianos Robertson, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

30.022705 Issued in OH

Practice address

67765 Mall Ring Rd
Saint Clairsville, OH 43950-1755

Phone

(202) 321-4029

NPI assigned

Jun 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Khalilah Syrianos-Robertson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1679988315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082012",
            "telephone_number": "414-616-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67765 MALL RING RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501755",
            "telephone_number": "202-321-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYRIANOS ROBERTSON",
        "first_name": "KHALILAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "3291182",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHALILAH",
            "last_name": "SYRIANOS-ROBERTSON",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meghan Sullivan
• Jodie R Summers, LSW
• Donna Marie Sweat, RN
• Robert P Swihart, LPC
• Carol A Swisk
• Joseph Tabacchi
• Diana Lynn Taggart
• Megan M Talkington
• Robert Wesley Talkington
• Amy J Taylor

• Dentist in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.