# CURTIS P. SKILLESTAD DDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629286042
- **Authorized official:** DR. CURTIS PATRICK SKILLESTAD (PRESIDENT)
- **Authorized official phone:** (406) 543-2998

## Contact information

- **Practice address:** 3700 S RUSSELL ST, SUITE 119, MISSOULA, MT 59801-8574
- **Practice address phone:** (406) 543-2998
- **Practice address fax:** (406) 541-2992
- **Mailing address:** 3700 S RUSSELL ST, SUITE 119, MISSOULA, MT 59801-8574
- **Mailing address phone:** (406) 543-2998
- **Mailing address fax:** (406) 541-2992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1968 | MT | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0112112 | — | MT |
| 01 | — | 5511350 | CHIPS | MT |
| 01 | — | 72912545 | TPIN | — |