# RICHARD SKJEVELAND, D.D.S, P.C.

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

## Provider details

- **NPI number:** 1801987672
- **Authorized official:** RICHARD SKJEVELAND D.D.S (OWNER, PRESIDENT)
- **Authorized official phone:** (973) 729-1106

## Contact information

- **Practice address:** 328B SPARTA AVE, SPARTA, NJ 07871-1112
- **Practice address phone:** (973) 729-1106
- **Practice address fax:** (973) 729-8525
- **Mailing address:** 328B SPARTA AVE, SPARTA, NJ 07871-1112
- **Mailing address phone:** (973) 729-1106
- **Mailing address fax:** (973) 729-8525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02125700 | NJ | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020