# ERIC S SKINNER DDS LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gentle Dental at Legacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689881930
- **Authorized official:** DR. ERIC S SKINNER DDS (PC HOLDER)
- **Authorized official phone:** (702) 438-2500

## Contact information

- **Practice address:** 80 N PECOS RD, STE D, HENDERSON, NV 89074-3300
- **Practice address phone:** (702) 438-2500
- **Practice address fax:** (702) 617-3409
- **Mailing address:** PO BOX 17179, IRVINE, CA 92623-7179
- **Mailing address phone:** (949) 567-3176
- **Mailing address fax:** (949) 567-3185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2991 | NV | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/22/2020