Skinner, Kevin Michael

Skinner, Kevin Michael is an individual health care provider with primary practice located at 5651 Stone Rd , Centreville VA 20120. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Skinner, Kevin Michael can be contacted via phone (703) 830-3092.

Contact Information

Primary practice address
5651 Stone Rd Centreville VA 20120
Phone: (703) 830-3092
Fax: (703) 830-0601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410055 Virginia
Dental Providers / Dentist 122300000X D401410055 Virginia

Profile Details

NPI number 1356482657
LBN Legal business name Skinner, Kevin Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Aug 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356482657 NPPES
Virginia Other 0401410055 VIRGINIA STATE LICENSE

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