Individual provider · Type 1 NPI

Calvin Tyler Skinner, DDS

General Practice Dentistry · Boise, ID

NPI number 1801406731 Active

Practice location

1175 E Parkcenter Blvd
Boise, ID 83706-6751

Call (208) 888-5544 Map

Mailing address

1455 E Jade Creek St
Eagle, ID 83616-7521

Other practice locations

  • 674 Blvd Defrance, Mcrd Parris Island, SC 29905 · (843) 228-3500
  • 144 E Mallard Dr, Boise, ID 83706-3975 · (208) 342-0315

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4871762 (ID)
Dentist 122300000XD11305 (OR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6 other providers at this address

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About NPI 1801406731

Calvin Tyler Skinner, DDS's National Provider Identifier is 1801406731, issued on Aug 5, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Jan 27, 2026.