Andrew L. Skigen DMD PA

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DN14048 Issued in FL

Legal business name

ANDREW L. SKIGEN DMD PA

Practice address

8708 Perimeter Park Blvd
Suite #1
Jacksonville, FL 32216-6354

Phone

(904) 565-1505

Fax

(904) 565-1506

NPI assigned

Feb 23, 2015

Last updated

Sep 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew L Skigen, DMDNPI 1194702316

Title

Surgeon

Phone

(904) 565-1505

Specialties & licenses 1

Addresses

Other names 1

• First Coast Oral & Maxillofacial Surgery Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew L Skigen, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Jacksonville, FL
  • NPI 1194702316
  Authorized official Same address or phone

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1164814596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 PERIMETER PARK BLVD",
            "address_2": "SUITE #1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161107",
            "telephone_number": "904-565-1505",
            "fax_number": "904-565-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 PERIMETER PARK BLVD",
            "address_2": "SUITE #1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166354",
            "telephone_number": "904-565-1505",
            "fax_number": "904-565-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW L. SKIGEN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "SKIGEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "904-565-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "DN14048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Coast Oral & Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Courtney Frank Andres, DO
• Frank James Andres, M.D.
• Brittany Nicole Andress, PA-C
• Andrew Gibson
• Andrew J Ruffett PHD LLC
• Andrew Weinstein MD PA
• Rebecca H Andrew, MD
• Stephanie M. Andrew, RN
• Sylia Andrew
• Andrews Surgery Center at Jacksonville Medplex LLC

• Oral & Maxillofacial Surgery (D.M.D.) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.