RAYMOND A. SKINNER DDS MS LTD NPI 1629183397

NPI Information

  • NPI: 1629183397
  • Provider Name: RAYMOND A. SKINNER DDS, MS, LTD
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 1277 E. MISSOURI #102
    PHOENIX, AZ
    ZIP 85014
  • Phone: (602) 266-5896

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NPI Details

RAYMOND A. SKINNER DDS, MS, LTD is a periodontics dentist in Phoenix, AZ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. RAYMOND A. SKINNER DDS, MS, LTD NPI is 1629183397. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1277 E. MISSOURI #102
PHOENIX, AZ
ZIP 85014
Phone: (602) 266-5896
Fax: (602) 864-6114

The provider's authorized official is Raymond A Skinner .
The authorized official title is Periodontist and has the following contact phone number (602) 266-5896.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.

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
11223P0300XDentistPeriodontics1924ARIZONAYes

What is NPI?

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

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