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NPI Code Detail

MEDICARE: KAY DENISE SKIPWORTH RDH

MEDICARE: KAY DENISE SKIPWORTH RDH
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
1124Q00000XDental Hygienist0011153TX

General Provider Information

NPI Number : 1598975526
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAY DENISE SKIPWORTH RDH
Provider Business Mailing Address
First Line : PO BOX 1193
Second Line :
City : HOWE
State : TX
Zip : 75459-1193
Country : US
Telephone Number : 903-712-0315
Fax Number :
Provider Business Practice Location Address
First Line : 8608 PRESTON RD
Second Line : 112
City : PLANO
State : TX
Zip : 75024-3316
Country : US
Telephone Number : 214-619-6329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/08/2007

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Directions to “ KAY DENISE SKIPWORTH RDH” Practice Location

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