Provider Demographics
NPI:1417097759
Name:SKOY, JAMES ANDREW
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANDREW
Last Name:SKOY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 DANA DR
Mailing Address - Street 2:STE. D
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-4036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1007 DANA DR
Practice Address - Street 2:STE. D
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-4036
Practice Address - Country:US
Practice Address - Phone:530-222-1221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54620122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist