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DR. KIRK ALLEN SKIDMORE DDS
NPI 1144468703
Dentist - Pediatric Dentistry in Bonney Lake, WA

Active since February 04, 2009
18008 STATE ROUTE 410 E, SUITE B, BONNEY LAKE, WA 98391(425) 785-2641 Get Directions Write a Review

NPPES record last updated: December 19, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Kirk Allen Skidmore Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIRK ALLEN SKIDMORE DDS (NPI 1144468703) is an individual pediatric dentistry provider in Bonney Lake, Washington, licensed in Washington (DE60232222) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1144468703
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KIRK ALLEN SKIDMORECredential: DDS
Location Address18008 STATE ROUTE 410 E, SUITE BBonney Lake, WA 98391-7113
Mailing Address18008 State Route 410 E, Suite BBonney Lake, WA 98391-7113 · (425) 785-2641
Phone(425) 785-2641
Sole ProprietorYes
Enumeration DateFebruary 4, 2009
Last NPPES UpdateDecember 19, 2014
✔ NPI 1144468703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WA · DE60232222
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
18008 STATE ROUTE 410 E, Bonney Lake, WA 98391
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ICHIRO PLLC
Chiropractor
18008 STATE ROUTE 410 E, SUITE D
BONNEY LAKE, WA 98391
Pierce County (253) 447-8440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirk Skidmore's NPI number?

The NPI number for Kirk Skidmore is 1144468703. It was assigned to this individual provider in the NPPES registry on February 4, 2009.

Where is Kirk Skidmore located?

Kirk Skidmore practices at 18008 State Route 410 E Suite B, Bonney Lake, WA 98391. The listed phone number is (425) 785-2641.

What is Kirk Skidmore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kirk Skidmore accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Kirk Skidmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kirk Skidmore was last updated on December 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.