# CHILDRENS DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parkway Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033276530
- **Authorized official:** DR. JB SKIBINSKI DDS (OWNER)
- **Authorized official phone:** (605) 332-1095

## Contact information

- **Practice address:** 3813 S KIWANIS CIR, SIOUX FALLS, SD 57105-4266
- **Practice address phone:** (605) 332-1095
- **Practice address fax:** (605) 335-7618
- **Mailing address:** 3813 S KIWANIS CIR, SIOUX FALLS, SD 57105-4266
- **Mailing address phone:** (605) 332-1095
- **Mailing address fax:** (605) 335-7618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | M963 | SD | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7806330 | — | SD |