Sela Rose Skoe, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001700 Issued in WI

Practice address

2340 Duck Creek Pkwy
Green Bay, WI 54303-3300

Phone

(920) 965-5525

NPI assigned

Apr 29, 2024

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sela Rose Fadness Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Associates LTD of Wisconsin

  • Endodontics
  • Wauwatosa, WI
  • NPI 1518266998

  General Practice

  NPD (past)
• Lifetime Dental Care of Maryland, Badger, P.C.

  • Dentist
  • Crofton, MD
  • NPI 1619032620
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1073369278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 33975",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482323975",
            "telephone_number": "414-771-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 DUCK CREEK PKWY",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033300",
            "telephone_number": "920-965-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOE",
        "first_name": "SELA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELA",
            "last_name": "FADNESS",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darrell Peter Skarphol, M.D.
• Katelyn M Skelley, PT, DPT
• Colton Skenandore, PA-C
• Crystal Skenandore, LPC
• Erik Paul Skoe
• Maren Ann Skovera, PTA
• Christopher Jon Skowlund, MD
• Lois Skrivanie, RN
• Brianna Lynn Skrzypcak, MD
• Philip Thomas Skummer

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.