NPIMap

Organization Active NPI

Associates in Oral and Maxillofacial Surgery, LTD.

Doing business as Stephen T. Skoly, Jr.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cranston, RI
National Provider Identifier
1386812816
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DEN02320 Issued in RI
Legal business name
ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD.
Doing business as
Stephen T. Skoly, Jr.
Practice address
989 Reservoir Ave
Cranston, RI 02910-5138
Phone
(401) 944-0397
Fax
(401) 944-3164
NPI assigned
Feb 19, 2008
Last updated
Mar 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Stephen T. Skoly Jr., D.M.D.NPI 1730193277
Title
Oral Surgeron
Phone
(401) 944-0397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DEN02320 RI Primary

Addresses

Primary practice location

989 Reservoir Ave
Cranston, RI 02910-5138

Mailing address

989 Reservoir Ave
Cranston, RI 02910-5138
Phone (401) 944-0397

Other names 1

  • Stephen T. Skoly, Jr. Doing business as

National Provider Directory

National Provider Directory

Locations

989 Reservoir Ave
Providence, RI 02910
Phone (401) 942-9005

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1386812816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105138",
            "telephone_number": "401-944-0397",
            "fax_number": "401-944-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105138",
            "telephone_number": "401-944-0397",
            "fax_number": "401-944-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "SKOLY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ORAL SURGERON",
        "authorized_official_telephone_number": "401-944-0397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "DEN02320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen T. Skoly, Jr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

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