Provider Demographics
NPI:1295722361
Name:SKARIE, WILLIAM ROBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBERT
Last Name:SKARIE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5806 AMIR DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:WI
Mailing Address - Zip Code:54476-4266
Mailing Address - Country:US
Mailing Address - Phone:715-359-3200
Mailing Address - Fax:715-359-7778
Practice Address - Street 1:5806 AMIR DR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-4266
Practice Address - Country:US
Practice Address - Phone:715-359-3200
Practice Address - Fax:715-359-7778
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5001661122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist