# DR. CURTIS PATRICK SKILLESTAD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669680237
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 07/08/2007

## Other identifiers

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