Provider Type Icon

MR. BRADLEY PATRICK SKELTON DMD NPI 1205290681


NPI Information

NPI: 1205290681
Provider Name: MR. BRADLEY PATRICK SKELTON, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
3333 BURNET AVE
DIVISION OF PEDIATRIC DENTISTRY, ML 2006
CINCINNATI, OH
ZIP 45229
Phone: (513) 636-4641
Get Directions

MR. Bradley Patrick Skelton, DMD is a pediatric dentistry dentist in Cincinnati, OH. 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. MR. Bradley Patrick Skelton, DMD NPI is 1205290681. 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:

3333 BURNET AVE
DIVISION OF PEDIATRIC DENTISTRY, ML 2006
CINCINNATI, OH
ZIP 45229
Phone: (513) 636-4641
Fax: (513) 636-8283

The NPI 1205290681 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/11/2016 and was last updated on 8/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice30.024780OHIONo
21223P0221XDentistPediatric Dentistry30.024780OHIOYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.