IndividualActive
Anthony Skinner, DDS
NPI 1114089315 · Periodontics · St Louis Park, MN
Provider details
- NPI number
- 1114089315
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D11998 (MN)
Specialties & taxonomies
Dental Providers
Practice location
6600 Excelsior Blvd
180
St Louis Park, MN 55426-4744
Phone: (952) 935-9009
Fax: (952) 935-1006
Approximate (ZIP-level) locationGet directions
Mailing address
6600 Excelsior Blvd
St Louis Park, MN 55426-4744
Registry dates
- Enumerated
- 2006-12-14
- 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.