Michael Skrobola III, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

059893 Issued in NY

Practice address

180 Wisner Ave
Middletown, NY 10940

Phone

(845) 342-1300

NPI assigned

Jul 27, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Skrobola & Schlosser DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Middletown, NY
  • NPI 1972620359
  NPD (past)

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1922551712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HUFCUT RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109413302",
            "telephone_number": "845-800-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WISNER AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-342-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKROBOLA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "059893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Skowronski, M.A.
• Erin Ann Skrobanski, FNP-BC
• Skrobola & Schlosser DDS PC
• Anthony Skrobola
• Michael Skrobola, D.D.S.
• Magdalena Skumial, PA
• Tineisha Slater
• Christina Slaughterbeck, M.S.
• Robin Melasky Sloma, LCSW,LSSW
• Annette Smart

• Orthodontics and Dentofacial Orthopedics Dentistry in Middletown, NY
• Providers in Middletown, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.