Eric S Skinner DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2991 Issued in NV

Legal business name

ERIC S SKINNER DDS LTD

Doing business as

Gentle Dental at Legacy

Practice address

80 N Pecos Rd
Ste D
Henderson, NV 89074-3300

Phone

(702) 438-2500

Fax

(702) 617-3409

NPI assigned

May 17, 2007

Organization subpart

No

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

PC Holder

Phone

(702) 438-2500

Specialties & licenses 1

Addresses

Other names 1

• Gentle Dental at Legacy Doing business as

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.

• Eric S Skinner DDS LTD

  • Dentist
  • Vancouver, WA
  • NPI 1265691745
  NPD tax ID

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689881930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17179",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926237179",
            "telephone_number": "949-567-3176",
            "fax_number": "949-567-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 N PECOS RD",
            "address_2": "STE D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743300",
            "telephone_number": "702-438-2500",
            "fax_number": "702-617-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC S SKINNER DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PC HOLDER",
        "authorized_official_telephone_number": "702-438-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental at Legacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Equality Project
• Equality Project
• Lili K Equihua, M.S., MFT
• Osadebamwen Erhunmwunsee
• Eric Hui, DMD, P.C.
• Eric V. Lac DMD LTD
• Erika Duggan
• Erika Duggan OD,PC
• Tatiana Selene Erives, RPH
• Clemencia Erlenbusch, PT

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.