| Skinner Dental | |
|
622 E 4500 S Ste 101 Salt Lake City UT 84107-2922 | |
| (801) 313-1800 | |
| (801) 313-1803 |
| Full Name | Skinner Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 622 E 4500 S Ste 101, Salt Lake City, Utah |
| Authorized Official Name and Position | Jason David Skinner (OWNER) |
| Authorized Official Contact | 8013131800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skinner Dental 622 E 4500 S Ste 101 Salt Lake City UT 84107-2922 Ph: (801) 313-1800 | Skinner Dental 622 E 4500 S Ste 101 Salt Lake City UT 84107-2922 Ph: (801) 313-1800 |
| NPI Number | 1174395628 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174395628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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