Timothy Emerson Skidmore D.D.S

NPI 1033109954 - Dentist - 1223G0001X

NPI Details
NPI 1033109954
Gender Male
Enumeration Date 10/22/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6215 E STATE ST
ROCKFORD IL, 61108-2514, US
Phone (815) 399-7777
Fax
Business Location
430 W ERIE ST
CHICAGO IL, 60610-4032, US
Phone (815) 399-7777
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dr. Timothy Emerson Skidmore D.D.S NPI is 1033109954, taxonomy code is 1223G0001X Timothy Emerson Skidmore D.D.S physically located at 6215 E State St, Rockford IL, 61108-2514. NPI Number Timothy Emerson Skidmore D.D.S has the Individual type.

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1033109954 NPI number is provided on an as is basis without warranty of any kind. 1033109954 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Emerson Skidmore D.D.S are for informational purposes only.