DR. KIRK ALLEN SKIDMORE DDS NPI 1144468703

NPI Information

  • NPI: 1144468703
  • Provider Name: DR. KIRK ALLEN SKIDMORE, DDS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 18008 STATE ROUTE 410 E
    SUITE B
    BONNEY LAKE, WA
    ZIP 98391
  • Phone: (425) 785-2641

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NPI Details

DR. Kirk Allen Skidmore, DDS is a pediatric dentistry dentist in Bonney Lake, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Kirk Allen Skidmore, DDS NPI is 1144468703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18008 STATE ROUTE 410 E
SUITE B
BONNEY LAKE, WA
ZIP 98391-113
Phone: (425) 785-2641

The enumeration date for this NPI number is 2/4/2009 and was last updated on 12/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryDE60232222WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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