NPIMap

Curtis Patrick Skillestad, D.D.S.

Individual provider Active NPI General Practice Dentistry · Missoula, MT

NPI 1669680237 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1669680237
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1968 (MT)
Practice address
3700 S Russell St
Suite 119
Missoula, MT 59801-8574
Phone
(406) 543-2998
Fax
(406) 541-2992
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1968MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis P. Skillestad DDS, P.C. General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1968 MT Yes

Addresses

Primary practice location

3700 S Russell St
Suite 119
Missoula, MT 59801-8574

Mailing address

1231 Gerald Ave
Missoula, MT 59801-4233
Phone (406) 327-9499

Other identifiers

IdentifierTypeStateIssuer
0112112MedicaidMT
5511350OtherMTCHIPS
72912545OtherTPIN

Other providers in Missoula, MT

All providers in Missoula, MT · General Practice Dentistry in Montana

Sources for this page

Verify at the official NPI Registry.