Provider Demographics
NPI:1154352375
Name:SKAALEN, JAMES M (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:SKAALEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:SCOTT
Other - Middle Name:L
Other - Last Name:DALTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:8601 E ORANGE BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-7428
Mailing Address - Country:US
Mailing Address - Phone:562-225-6618
Mailing Address - Fax:
Practice Address - Street 1:3227 E BELL RD
Practice Address - Street 2:SUTIE # 120
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2700
Practice Address - Country:US
Practice Address - Phone:602-923-2400
Practice Address - Fax:602-923-2410
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD57951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice