Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIRK ALLEN SKIDMORE, DDS
Active Sole ProprietorDR. KIRK ALLEN SKIDMORE, DDS is a Pediatric Dentistry healthcare provider located in BONNEY LAKE, Washington. NPI 1144468703 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BONNEY LAKE, WA
Registration Details
- NPI Number
- 1144468703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2009 (17.567080775119 yrs)
- Last Updated
- Dec 19, 2014
- License
-
DE60232222 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18008 STATE ROUTE 410 ESUITE BBONNEY LAKE, WA, 983917113Browse WA providers · Browse ZIP 98391
- Phone
- 4257852641
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in BONNEY LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| DR. IDIN ZHALEHDOUST SANI | D.M.D. | 1720447865 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.