DR. ANTHONY JOHN SKINNER (NPI# 1114089315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114089315 |
Entity Type | Individual |
Full Name | DR. ANTHONY JOHN SKINNER |
Credential | DDS |
Practice Address |
6600 Excelsior Blvd 180 St Louis Park MN 55426-4744 |
Practice Telephone | 9529359009 |
Practice Fax Number | 9529351006 |
Mailing Telephone | 9529359009 |
Mailing Fax Number | 9529351006 |
Enumeration Date | 2006-12-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
D11998 | MN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568733681 | Anthony Joseph Skinner | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2012-01-20 |
Street Address |
6600 EXCELSIOR BLVD 180 |
City | ST LOUIS PARK |
State | MN |
Zip Code | 55426-4744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043295587 | Michael Dukinfield | Family Medicine | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4744 | 2005-12-07 |
1669984274 | Auguste C Wolle | Physician Assistant | 6600 Excelsior Blvd, St Louis Park, MN 55426 | 2017-11-05 |
1255866877 | Tyler Lacey | Student in an Organized Health Care Education/Training Program | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426-4744 | 2017-04-21 |
1154855484 | Amanda Marie Honsvall Hoefler | Student in an Organized Health Care Education/Training Program | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426-4744 | 2017-04-13 |
1760869200 | Ashley Estrem | Family Medicine | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426-4744 | 2015-05-05 |
1316324957 | Stephen Norbert Schwartz | Family Medicine | 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426-4744 | 2015-05-04 |
1356728331 | Nicole James | Family Medicine | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426 | 2015-04-29 |
1669892964 | Kaitlyn Henkelman | Family Medicine | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4744 | 2014-04-24 |
1588084248 | Brittany Solc | Family Medicine | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426 | 2014-04-21 |
1932480100 | Lauren B Fogel Mersy | Psychologist | 6600 Excelsior Blvd, St Louis Park, MN 55426-4744 | 2011-09-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
Find all providers in zip 55426 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
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 structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174706865 | Twin Cities Periodontics | Dentist | 6600 Excelsior Blvd Ste 180, St Louis Park, MN 55426-4713 | 2007-12-17 |
1902969991 | Neil Ronald Covin | Dentist | 3401 Wooddale Ave S, St Louis Park, MN 55416-2340 | 2006-12-19 |
1467515460 | Neil R. Covin, D.d.s., P.a. | Dentist | 3401 Wooddale Ave S, St Louis Park, MN 55416-2340 | 2006-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316400591 | Shorouk Elnagdy | Dentist | 515 Delaware St Se # 7-368, Minneapolis, MN 55455-0357 | 2019-04-13 |
1508300252 | Minnesota Periodontal Associates, Pa | Dentist | 4801 Hwy 61 N., Suite 300, White Bear Lake, MN 55110-2753 | 2016-12-15 |
1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
1356684419 | Shahir Nehad Abdel-malek | Dentist | 3555 Louisiana Ave S, Saint Louis Park, MN 55426-4121 | 2013-03-27 |
1386901858 | Jeanne L Barss | Dentist | 2550 University Ave W Ste 189s, Saint Paul, MN 55114-2001 | 2012-04-20 |
1205129012 | Jerod Thomas Klava | Dentist | 6545 France Ave. So., Suite 190, Edina, MN 55435 | 2011-05-26 |
1861784050 | Elham Akhlaghi | Dentist | 515 Delaware Street, Minneapolis, MN 55455 | 2011-05-06 |
1013216811 | Minneapolis-st. Paul Periodontics | Dentist | 1109 East Moore Lake Drive, Fridley, MN 55432 | 2011-03-18 |
1558516369 | Mdo Periodontics Pa | Dentist | 1900 Kruchten Ct S, Ste. 101, Sartell, MN 56377-4730 | 2008-11-20 |
1972770006 | Ying-lien Wu | Dentist | 150 S 5th St Ste 1475, Minneapolis, MN 55402-4212 | 2008-05-08 |
Find all providers with the same taxonomy |
City | ST LOUIS PARK |
Zip Code | 55426 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.