Individual
DR. CURTIS PATRICK SKILLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3700 S RUSSELL ST, SUITE 119, MISSOULA, MT 59801-8574
(406) 543-2998
(406) 541-2992
Mailing address
1231 GERALD AVE, MISSOULA, MT 59801-4233
(406) 327-9499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1968
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112112
—
MT
01
—
5511350
CHIPS
MT
01
—
72912545
TPIN
—
Enumeration date
05/18/2007
Last updated
07/08/2007
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