IndividualActive
J. Skahan, DDS
NPI 1083713846 · Periodontics · Springfield, MO
Provider details
- NPI number
- 1083713846
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13354 (MO)
Specialties & taxonomies
Dental Providers
Practice location
1320 E Kingsley St
Suite B
Springfield, MO 65804-7216
Phone: (417) 881-5405
Approximate (ZIP-level) locationGet directions
Mailing address
1320 E Kingsley St
Springfield, MO 65804-7216
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.