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Active NPI 1760471106 Individual Practitioner Male Practitioner

Dr. John M Skillicorn , DDS

Dentist - General Practice • Mora, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Skillicorn, DDS is a registered healthcare professional specializing in Dentist - General Practice in Mora, MN. Practice services are available at 186 WESTWOOD CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

186 Westwood Cir

Mora, MN 550511731

Telephone 3202828463
Fax 3206792101
Associated Practice Facility / Clinic
🏢 Mora Dental Center Facility NPI 1700065687

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mora, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Mora, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D7519

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
635017800 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jennifer Vanderpoel , DDS

Dentist - General Practice

NPI 1881785806

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2009

Registered at 186 WESTWOOD CIR, MORA, MN 550511731 (Tel: 3202828463)

📍
Updated Business Mailing Address January 08, 2009

Registered at 547 UNION ST S, MORA, MN 550511817 (Tel: 3206792464)

👤
Provider Name / Credentials Updated January 08, 2009

Recorded as JOHN SKILLICORN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2009

Dentist (License #D7519 in MN)

🟢
Initial NPI Registration & Enumeration October 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760471106
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2005
Last Update: January 08, 2009
Sole Proprietor: No

Mailing Address

547 Union St S

Mora, MN 550511817

Phone: 3206792464

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.