Skousen Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SKOUSEN DENTAL, PLLC

Doing business as

Heritage Dental Studio

Practice address

12828 Eldorado Pkwy Ste 110
Frisco, TX 75035-5881

Phone

(469) 535-6516

Fax

(469) 530-3321

NPI assigned

Sep 30, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Joel R Skousen, DDSNPI 1265814297

Title

Owner

Phone

(469) 535-6516

Specialties & licenses 1

Addresses

Other names 1

• Heritage Dental Studio Doing business as

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.

• Joel Reuben Skousen, DDS

  • General Practice Dentistry
  • Troy, NC
  • NPI 1265814297
  NPD Authorized official

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1417598566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 ELDORADO PKWY STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355881",
            "telephone_number": "469-535-6516",
            "fax_number": "469-530-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 ELDORADO PKWY STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355881",
            "telephone_number": "469-535-6516",
            "fax_number": "469-530-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOUSEN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "SKOUSEN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-535-6516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyce A Skinner, M.S., CCC-SLP
• SKM Dentistry Frisco PLLC (brush365)
• Skor Medical Solutions
• Skor Medical Solutions, LLC
• Daniel A Skora, M.D.
• Kennedy Slavens
• Sleep DME of America, LP
• Sleep Medicine Associates of Texas, P.a.
• Sleep Neuro Active Patient Care LLC (SNAP Care)
• Sloan Counseling, PLLC

• Dental Clinic/Center in Frisco, TX
• Providers in Frisco, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.