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NPI Code Detail

MEDICARE: DR. MARTHA ELLEN SKELTON DDS

MEDICARE:  DR. MARTHA ELLEN SKELTON  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry5532CO
2122300000XDentist5532CO

General Provider Information

NPI Number : 1215936042
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTHA ELLEN SKELTON DDS
Provider Business Mailing Address
First Line : 4850 W. 80TH AVENUE
Second Line :
City : WESTMINSTER
State : CO
Zip : 80030
Country : US
Telephone Number : 303-427-8690
Fax Number : 303-427-8690
Provider Business Practice Location Address
First Line : 4850 W. 80TH AVE
Second Line :
City : WESTMINSTER
State : CO
Zip : 80030
Country : US
Telephone Number : 303-427-8690
Fax Number : 303-427-8690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 06/18/2009

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Directions to “ DR. MARTHA ELLEN SKELTON DDS” Practice Location

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