Organization Active NPI

Eric S Skinner DDS LTD

Doing business as Gentle Dental

  • Dentist
  • Vancouver, WA
National Provider Identifier
1265691745
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2991 Issued in NV
Legal business name
ERIC S SKINNER DDS LTD
Doing business as
Gentle Dental
Practice address
1101 SE Tech Center Dr
Suite 195
Vancouver, WA 98683-5504
Phone
(360) 449-5700
Fax
(360) 449-5715
NPI assigned
Jun 9, 2008
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Eric S Skinner, DDS
Title
President
Phone
(800) 684-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2991 NV Primary

Addresses

Primary practice location

1101 SE Tech Center Dr
Suite 195
Vancouver, WA 98683-5504

Mailing address

1101 SE Tech Center Dr
Suite 195
Vancouver, WA 98683-5504
Phone (360) 449-5700

Other names 1

  • Gentle Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eric S Skinner DDS LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1265691745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SE TECH CENTER DR",
            "address_2": "SUITE 195",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835504",
            "telephone_number": "360-449-5700",
            "fax_number": "360-449-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SE TECH CENTER DR",
            "address_2": "SUITE 195",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835504",
            "telephone_number": "360-449-5700",
            "fax_number": "360-449-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC S SKINNER DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-684-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "2991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.