Kenneth Richard Skyberg in Gridley - General Practice

Kenneth Richard Skyberg - NPI 1043371644

Kenneth Richard Skyberg is a General Practice in Gridley, California. Kenneth Richard Skyberg practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Richard Skyberg is 1043371644. The last update date is 2007-07-08.

Kenneth Richard Skyberg's current location address is 424 Magnolia St, Gridley, California. You can contact this provider via phone number 5308464815 and fax number 5308460745. The mailing address for Kenneth Richard Skyberg is 424 Magnolia St, Gridley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Richard Skyberg
Address 424 Magnolia St, Gridley, California
Phone Number 5308464815
Fax Number 5308460745
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1043371644
Provider Enumeration Date 2006-12-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 424 Magnolia St
City Gridley
State California (CA)
Post Code 959482535
Phone Number 5308464815
Fax Number 5308460745

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 35168
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Kenneth Richard Skyberg

What is the unique identifier code issued to Kenneth Richard Skyberg by the Centers for Medicare & Medicaid Services (CMS)?

The Kenneth Richard Skyberg has been assigned the NPI (National Provider Identifier) 1043371644. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Kenneth Richard Skyberg is physically located?

The Kenneth Richard Skyberg is situated at the following address: 424 Magnolia St, Gridley, CA 959482535.

What is Kenneth Richard Skyberg's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth Richard Skyberg's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043371644 to Kenneth Richard Skyberg?

The Centers for Medicare & Medicaid Services originally issued the 1043371644 to Kenneth Richard Skyberg on 2006-12-13.

When was the Kenneth Richard Skyberg's information last updated?

The Kenneth Richard Skyberg's information was last updated on 2007-07-08.

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