| Stephen T. Skoly, Jr. | |
|
989 Reservoir Ave Cranston RI 02910-5138 | |
| (401) 944-0397 | |
| (401) 944-3164 |
| Full Name | Stephen T. Skoly, Jr. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 989 Reservoir Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Stephen T. Skoly (ORAL SURGERON) |
| Authorized Official Contact | 4019440397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen T. Skoly, Jr. 989 Reservoir Ave Cranston RI 02910-5138 Ph: (401) 944-0397 | Stephen T. Skoly, Jr. 989 Reservoir Ave Cranston RI 02910-5138 Ph: (401) 944-0397 |
| NPI Number | 1386812816 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386812816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DEN02320 (Rhode Island) | Primary |
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