Provider Demographics
NPI:1144111766
Name:OAK FAMILY DENTISTRY LLC
Entity type:Organization
Organization Name:OAK FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SKORETZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:970-385-7350
Mailing Address - Street 1:450 S CAMINO DEL RIO STE 207
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-6857
Mailing Address - Country:US
Mailing Address - Phone:970-385-7597
Mailing Address - Fax:970-385-7597
Practice Address - Street 1:450 S CAMINO DEL RIO STE 207
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-6857
Practice Address - Country:US
Practice Address - Phone:970-385-7597
Practice Address - Fax:970-385-7597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty