Provider Demographics
NPI:1134611890
Name:SKEES FAMILY DENTISTRY, PLLC.
Entity type:Organization
Organization Name:SKEES FAMILY DENTISTRY, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SKEES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:812-280-8300
Mailing Address - Street 1:4123 TOWN CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-7160
Mailing Address - Country:US
Mailing Address - Phone:812-280-8300
Mailing Address - Fax:812-280-8304
Practice Address - Street 1:4123 TOWN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-7160
Practice Address - Country:US
Practice Address - Phone:812-280-8300
Practice Address - Fax:812-280-8304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011572B261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental