Individual
DR. BRETT T SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
150 E 200 N, STE E, LOGAN, UT 84321
(435) 792-3255
(435) 792-3259
Mailing address
150 E 200 N, STE E, LOGAN, UT 84321
(435) 792-3255
(435) 792-3259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
49266788903
UT
122300000X
Dentist
Primary
49266789922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1387225
UNITED CONCORDIA
UT
Enumeration date
08/11/2006
Last updated
07/08/2007
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