Provider Demographics
NPI:1245811132
Name:O'BRIEN, SKYLER LAGCHER
Entity type:Individual
Prefix:DR
First Name:SKYLER
Middle Name:LAGCHER
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SKYLER
Other - Middle Name:LAGCHER
Other - Last Name:O'BRIEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:2002 GROUPER RUN
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2327
Mailing Address - Country:US
Mailing Address - Phone:919-903-0195
Mailing Address - Fax:
Practice Address - Street 1:1619 LIVE OAK ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:NC
Practice Address - Zip Code:28516-1520
Practice Address - Country:US
Practice Address - Phone:252-254-2738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC124071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice