Skoczylas, Larry J

Skoczylas, Larry J is an individual health care provider with primary practice located at 6112 Merlin Ct , Midland MI 48640-7358. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Skoczylas, Larry J can be contacted via phone (989) 839-9979.

Contact Information

Primary practice address
6112 Merlin Ct Midland MI 48640-7358
Phone: (989) 839-9979
Fax: (989) 839-9553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X LS014616 Michigan
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X LS014616 Michigan

Profile Details

NPI number 1437174786
LBN Legal business name Skoczylas, Larry J
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437174786 NPPES
Michigan MEDICAID 2993779
Michigan MEDICAID 2847912

Popular Providers