MEDICARE: CADEN BRETT SKINNER DMD

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
1	122300000X	Dentist	14223684-9926	UT

General Provider Information

NPI Number	:	1023801370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CADEN BRETT SKINNER DMD

Provider Business Mailing Address
First Line	:	384 N SARAH ST
Second Line	:
City	:	PROVIDENCE
State	:	UT
Zip	:	84332-9231
Country	:	US
Telephone Number	:	435-265-6985
Fax Number	:

Provider Business Practice Location Address
First Line	:	1260 N 200 E STE 3
Second Line	:
City	:	LOGAN
State	:	UT
Zip	:	84341-2382
Country	:	US
Telephone Number	:	435-792-3255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	05/28/2025

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Directions to “ CADEN BRETT SKINNER DMD” Practice Location

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