Jacob William Skinner DMD

NPI 1063415040 - Dentist - 1223G0001X

NPI Details
NPI 1063415040
Gender Male
Enumeration Date 05/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
5121 EHRLICH RD
STE 105
TAMPA FL, 33624-2015, US
Phone (813) 960-2232
Fax
Business Location
13312 TIGER LILLY LN
TAMPA FL, 33625-3770, US
Phone (813) 220-3372
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN 16608
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According to our database, Dr. Jacob William Skinner DMD NPI is 1063415040, taxonomy code is 1223G0001X and license number is DN 16608, license state is located at Florida. Jacob William Skinner DMD physically located at 5121 Ehrlich Rd, Tampa FL, 33624-2015. NPI Number Jacob William Skinner DMD has the Individual type.

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1063415040 NPI number is provided on an as is basis without warranty of any kind. 1063415040 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob William Skinner DMD are for informational purposes only.