Angela Bogacki Skidmore, D.D.S.

General Practice Dentistry · Bartlett, IL

Individual Active NPI

NPI number 1720072762

Practice location

988 S Bartlett Rd
Bartlett, IL 60103-6500
Phone
(630) 289-4288
Fax
(630) 289-4468

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NPI record

NPI
1720072762
Entity type
Individual (Type 1)
Enumeration date
September 6, 2005
Last updated
May 22, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019025896 IL

About Dr. Skidmore

Angela Bogacki Skidmore, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 988 S Bartlett Rd, Bartlett, IL 60103-6500. The NPI number 1720072762 was assigned on September 6, 2005 and the record was last updated on May 22, 2015.

Dr. Skidmore lists a license in the registry: #019025896 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Angela Bogacki Skidmore, D.D.S.?

The NPI number is 1720072762.

What is the phone number of Dr. Skidmore?

The phone number listed for the practice location is (630) 289-4288.

Where is Dr. Skidmore located?

988 S Bartlett Rd, Bartlett, IL 60103-6500.

What is the taxonomy code for Dr. Skidmore?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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