Individual
DR. J. MICHAEL SKAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1320 E KINGSLEY ST, SUITE B, SPRINGFIELD, MO 65804-7216
(417) 881-5405
Mailing address
1320 E KINGSLEY ST, SUITE B, SPRINGFIELD, MO 65804-7216
(417) 881-5405
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
13354
MO
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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