Healthcare Provider Details

I. General information

NPI: 1720477235
Provider Name (Legal Business Name): SKYLER JEFFREY LIATTI DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2015
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 N EL CAMINO REAL STE 203
ENCINITAS CA
92024-2813
US

IV. Provider business mailing address

317 N EL CAMINO REAL STE 203
ENCINITAS CA
92024-2813
US

V. Phone/Fax

Practice location:
  • Phone: 760-942-4040
  • Fax: 760-942-4040
Mailing address:
  • Phone: 760-942-4040
  • Fax: 760-942-4040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number64172
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number64172
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: