Provider Demographics
NPI:1710960737
Name:SKOLER, PETER M (DMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:M
Last Name:SKOLER
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:300 CONGRESS STREET
Mailing Address - Street 2:SUITE 307
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-0907
Mailing Address - Country:US
Mailing Address - Phone:617-770-3838
Mailing Address - Fax:617-786-8254
Practice Address - Street 1:300 CONGRESS ST
Practice Address - Street 2:SUITE 307
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-0907
Practice Address - Country:US
Practice Address - Phone:617-770-3838
Practice Address - Fax:617-786-8254
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2010-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA144621223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics