Anthony John Skinner in St Louis Park - Periodontics
Anthony John Skinner - NPI 1114089315
Anthony John Skinner is a Periodontics in St Louis Park, Minnesota. Anthony John Skinner practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Anthony John Skinner is 1114089315. The last update date is 2007-07-08.
Anthony John Skinner's current location address is 6600 Excelsior Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529359009 and fax number 9529351006. The mailing address for Anthony John Skinner is 6600 Excelsior Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony John Skinner |
|---|---|
| Address | 6600 Excelsior Blvd, St Louis Park, Minnesota |
| Phone Number | 9529359009 |
| Fax Number | 9529351006 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1114089315 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6600 Excelsior Blvd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554264744 |
| Phone Number | 9529359009 |
| Fax Number | 9529351006 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | D11998 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code assigned to Anthony John Skinner by the Centers for Medicare & Medicaid Services?
The Anthony John Skinner has been issued the NPI (National Provider Identifier) 1114089315, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Anthony John Skinner is located?
The Anthony John Skinner is situated at the following address: 6600 Excelsior Blvd, St Louis Park, MN, 554264744.
What is Anthony John Skinner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Anthony John Skinner is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did the Anthony John Skinner receive the assignment of its 1114089315 from the Centers for Medicare & Medicaid Services?
The Anthony John Skinner was issued its 1114089315 by the Centers for Medicare & Medicaid Services on 2006-12-14.
As of what date were the Anthony John Skinner's details last updated?
The information pertaining to the Anthony John Skinner, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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