Skylar Kipps, DDS
Individual provider Active NPI General Practice Dentistry · Shady Spring, WV
NPI 1780359752 · NPPES record last updated Aug 12, 2021
Key facts
- NPI
- 1780359752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4537 (WV)
- Practice address
- 479 Flat Top Rd
Shady Spring, WV 25918-8614 - Phone
- (304) 763-4665
- NPI assigned
- Aug 12, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4537 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay and Hiener Dentistry Partnership | Past |
Accepting new patients | |
| C Jeff Clay, D.D.S. Inc. | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4537 | WV | Yes |
Addresses
Primary practice location
479 Flat Top Rd
Shady Spring, WV 25918-8614
Mailing address
479 Flat Top Rd
Shady Spring, WV 25918-8614
Phone (304) 763-4665
Other practice location 1
1 Physicians Plaza
Lochgelly, WV 25866
Phone (304) 469-4911
Other providers in Shady Spring, WV
- Amy B Jamison
- Sherry Kelly
- Brooklyn Faith Kincaid
- Crystal Dawn Kincaid
- Jennifer Kincaid
- Monica Lambert
- Sandra Linzy
- Mistey D Luikart
- Ceanna McCoy
- Wade McKinney
All providers in Shady Spring, WV · General Practice Dentistry in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.