RAYMOND A. SKINNER DDS, MS, LTD (NPI# 1629183397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629183397 |
| Entity Type | Organization |
| Organization Name | RAYMOND A. SKINNER DDS, MS, LTD |
| Practice Address |
1277 E. Missouri #102 Phoenix AZ 85014 |
| Practice Telephone | 6022665896 |
| Practice Fax Number | 6028646114 |
| Mailing Telephone | 6022665896 |
| Mailing Fax Number | 6028646114 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAYMOND A SKINNER (PERIODONTIST) |
| Authorized Official Telephone | 6022665896 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
1924 | AZ | Dental Providers |
| Street Address |
1277 E. MISSOURI #102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| Find all providers in zip 85014 | ||||
| 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 |
|---|---|---|---|---|
| 1457719114 | Mountain Park Dentistry L.L.C. | Dentist | 15215 S 48th St Ste 175, Phoenix, AZ 85044-9140 | 2016-02-09 |
| 1053602953 | Maryland Avenue Periodontics, LLC | Dentist | 6520 N 7th Ave Ste 5, Phoenix, AZ 85013-1158 | 2011-04-26 |
| 1376799445 | Xavier Mata | Dentist | 8608 S 30th Way, Phoenix, AZ 85042-8249 | 2008-08-08 |
| 1194934430 | Mark S. Passell | Dentist | 7201 N 19th Ave, Ste #1, Phoenix, AZ 85021-7975 | 2007-05-22 |
| 1699980920 | Shahin Madi | Dentist | 21001 N Tatum Blvd Ste 801690, Phoenix, AZ 85050-5233 | 2007-05-11 |
| 1295952265 | Daniel Nathan Indech | Dentist | 4045 E Bell Rd Ste 159, Phoenix, AZ 85032-2240 | 2007-04-19 |
| 1760500169 | Aristidis Pontikas | Dentist | 301 East Bethany Home Road, Suite B-120, Phoenix, AZ 85012 | 2007-03-26 |
| 1285728998 | Gregory T Smith | Dentist | 4212 N. 16th St, Phoenix Indian Medical Center, Phoenix, AZ 85016 | 2006-10-03 |
| 1245348705 | Rex Travis Butler | Dentist | 6601 N Arizona Biltmore Cir, Phoenix, AZ 85016-8907 | 2006-08-26 |
| 1073960928 | Westgate Periodontics, Pllc | Dentist | 6535 W Camelback Rd, Suite #1, Phoenix, AZ 85033-1608 | 2016-05-20 |
| Find all providers in PHOENIX | ||||
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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.