Dr. Calvin Tyler Skinner
Dentist

Address: 34800 Bob Wilson Drive, Building 2, Ground Floor/quality Management Suite, San Diego, CA 92134
Phone: 6195328038

Dr. Calvin Tyler Skinner (NPI# 1801406731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1801406731
Entity Type Individual
Full Name Dr. Calvin Tyler Skinner
Credential DDS
Gender Male
Practice Address 34800 Bob Wilson Drive
Building 2, Ground Floor/quality Management Suite
San Diego
CA 92134
Practice Telephone 6195328038
Practice Fax Number 6195329153
Mailing Address 1306 Calle Verona Apt 103
Chula Vista
CA 91913-1585
Mailing Telephone 2089870402
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-08-05
Last Update Date 2020-09-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 122300000X Dentist Dental Providers D11305 OR
No 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265048409 Sara Siraj Dentist 7720 Tyrolean Rd, San Diego, CA 92126-1029 2020-09-22
1639785306 Brittany Jordan Noris Dentist 5830 Oberlin Dr Ste 201, San Diego, CA 92121-3754 2020-09-18
1437761475 Pouya Parsa Dentist 12275 Carmel Vista Rd Unit 224, San Diego, CA 92130-2536 2020-08-20
1366060808 Azadeh Khajavi Dentist 16516 Bernardo Center Dr Ste 210, San Diego, CA 92128-2551 2020-07-10
1871127456 Sandhya Ramanujam Dentist 16466 Bernardo Center Dr Ste 185, San Diego, CA 92128-2522 2020-02-23
1396396164 Khanh Nguyen Dentist 8605 Andromeda Rd, San Diego, CA 92126-1803 2019-09-24
1770133977 Jeffrey Leland Elmer Dentist 2310 Craven St Unit 3210, San Diego, CA 92136-5596 2019-09-19
1609429273 Navya Jampala Dentist 10891 Creekbridge Pl, San Diego, CA 92128-5108 2019-07-22
1619529229 Calli Ann Marando Dentist 2310 Craven St # 3230, San Diego, CA 92136-5596 2019-07-13
1669024428 Bolivia Pereira Hurtado Dentist 2303 92136, 2309 Doyle St, San Diego, CA 92136-0001 2019-07-11
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Office Location

Street Address 34800 BOB WILSON DRIVE
BUILDING 2, GROUND FLOOR/QUALITY MANAGEMENT SUITE
City SAN DIEGO
State CA
Zip Code 92134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730167917 Charles F Jackson Audiologist 34800 Bob Wilson Drive, Naval Medical Center, San Diego, San Diego, CA 92134-5000 2006-01-06
1245714476 Rebekah Elaine Glennnorris Social Worker 34800 Bob Wilson Drive, Bldg 1, Floor 2, Suite 208, San Diego, CA 92134 2018-09-24
1942799440 Jodi Watson Midwife 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2018-05-09
1821585332 Dejanae Hairston Military Health Care Provider 34800 Bob Wilson Drive, San Diego, CA 92134 2018-04-19
1124577911 Lisa Tang Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, Naval Medical Ctr, San Diego, CA 92134-5000 2016-09-22
1891241451 Sterling Thompson Dentist 34800 Bob Wilson Drive, Naval Medical Ctr, San Diego, CA 92134-5000 2016-09-01
1851845242 Oanh Pham Hutson Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, Naval Medical Center San Diego, San Diego, CA 92134-5000 2016-08-15
1033560354 Andrew James Medenbach Military Health Care Provider 34800 Bob Wilson Drive, Naval Med Center, San Diego, CA 92134 2016-06-28
1104277953 Jaydeep Raval Military Health Care Provider 34800 Bob Wilson Drive, Al Medical Center, San Diego, CA 92134-5000 2016-06-23
1770947939 William Christopher Dyer Dentist 34800 Bob Wilson Drive, Naval Medical Center San Diego, San Diego, CA 92134-5000 2016-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
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Competitor

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City SAN DIEGO
Zip Code 92134

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.