Jackson Edwin Skeeters, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00205953 Issued in CO

Practice address

7575 W 20TH Ave
Lakewood, CO 80214-5738

Phone

(303) 238-2800

NPI assigned

Jun 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Lakewood Complete Dentistry

  • General Practice Dentistry
  • Lakewood, CO
  • NPI 1104748250
  NPD (past)

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1134813892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 W 20TH AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145738",
            "telephone_number": "303-238-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 W 20TH AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145738",
            "telephone_number": "303-238-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEETERS",
        "first_name": "JACKSON",
        "middle_name": "EDWIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00205953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Rae Sitzman
• Catherine Siwicke
• Julie Skafidas
• Laura Skaggs, RN
• Kevin Skeate
• Catherine Sophie Skoggard, MA, LPCC
• Ashley Skowronski
• Jo P Slaga
• Grace E Slate, CPNP
• Meagan Marie Slater, MA SLP-CCC

• General Practice Dentistry in Lakewood, CO
• Providers in Lakewood, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.