Organization
SKINNER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DAVID SKINNER DDS (OWNER)
(801) 313-1800
Entity
Organization
Contact information
Practice address
622 E 4500 S STE 101, SALT LAKE CITY, UT 84107-2922
(801) 313-1800
(801) 313-1803
Mailing address
622 E 4500 S STE 101, SALT LAKE CITY, UT 84107-2922
(801) 313-1800
(801) 313-1803
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
12/04/2024
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