Skinner Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SKINNER DENTAL

Practice address

622 E 4500 S Ste 101
Salt Lake City, UT 84107-2922

Phone

(801) 313-1800

Fax

(801) 313-1803

NPI assigned

Oct 27, 2023

Organization subpart

No

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

Authorized official

Name

Jason David Skinner, DDSNPI 1548319783

Title

Owner

Phone

(801) 313-1800

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason D Skinner, D.D.S.

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1548319783
  NPD Authorized official
• Justin Skinner, DMD

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1083307359
  NPD (past)

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1174395628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E 4500 S STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072922",
            "telephone_number": "801-313-1800",
            "fax_number": "801-313-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E 4500 S STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072922",
            "telephone_number": "801-313-1800",
            "fax_number": "801-313-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-313-1800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron B. Skidmore, CRNA
• Nicole Marie Skidmore, RPH
• Thomas B. Skidmore, MD
• Skill Builders ABA
• Skin Care RX L L C
• Andrew Michael Skinner, M.D.
• Jason D Skinner, D.D.S.
• Justin Skinner, DMD
• Lee Skinner, DPT
• Nathaniel Skinner, PHD

• Dental Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.