National Provider Identifier
Samir K Khalil, DDS
Samir K Khalil, DDS is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 434-2090.
Profile Overview
- NPI
- 1063500148
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- October 11, 2006
- Last Updated
- July 21, 2022
Practice Location
- 2749 W Ridge RD
- Rochester, NY 14626-3038
Phone: (585) 434-2090
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1063500148
- Entity Type
- Individual
- Last Name
- Khalil
- First Name
- Samir
- Middle Name
- K
- Credential
- DDS
- Mailing Street Address
- 2749 W Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-3038
- Mailing Country
- US
- Mailing Phone
- (585) 434-2090
- Mailing Fax
- (585) 413-3295
- Practice Street Address
- 2749 W Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-3038
- Practice Country
- US
- Practice Phone
- (585) 434-2090
- Practice Fax
- (585) 413-3295
- Enumeration Date
- October 11, 2006
- Last Updated
- July 21, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- January 23, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)