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DR. LARRY J SKOCZYLAS D.D.S. M.S. NPI 1437174786


NPI Information

NPI: 1437174786
Provider Name: DR. LARRY J SKOCZYLAS, D.D.S., M.S.
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
6112 MERLIN CT
MIDLAND, MI
ZIP 48640
Phone: (989) 839-9979
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DR. Larry J Skoczylas, D.D.S., M.S. is an oral maxillofacial surgery in Midland, MI. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Larry J Skoczylas, D.D.S., M.S. NPI is 1437174786. 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:

6112 MERLIN CT
MIDLAND, MI
ZIP 48640-358
Phone: (989) 839-9979
Fax: (989) 839-9553

The enumeration date for this NPI number is 7/13/2006 and was last updated on 10/10/2012.


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
11223S0112XDentistOral and Maxillofacial SurgeryLS014616MICHIGANNo
2204E00000XOral & Maxillofacial SurgeryLS014616MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U26760MEDICARE UPINMICHIGAN
22847912MEDICAIDMICHIGAN
32993779MEDICAIDMICHIGAN
4OE64529002MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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

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