Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912069840 Individual Practitioner Male Practitioner

Dr. Lance J. Skidmore , DDS, MS

Dentist - Endodontics • San Angelo, TX

Professional Overview & Biography Verified Profile Summary

Dr. Lance Skidmore, DDS, MS is a registered healthcare professional specializing in Dentist - Endodontics in San Angelo, TX. Practice services are available at 2014 W BEAUREGARD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2014 W Beauregard Ave

San Angelo, TX 769013813

Telephone 3257169597
Associated Practice Facility / Clinic
🏢 San Angelo Endodontics, Pc Facility NPI 1174081301

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in San Angelo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in San Angelo, TX (476 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License TX 23788

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Carlos Carrillo , DDS, MSD

Dentist - Endodontics

NPI 1609473768

Doctor of Dental Surgery, MSD

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 13, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2008

Registered at 2014 W BEAUREGARD AVE, SAN ANGELO, TX 769013813 (Tel: 3257169597)

📍
Updated Business Mailing Address August 13, 2008

Registered at 2014 W BEAUREGARD AVE, SAN ANGELO, TX 769013813 (Tel: 3257169597)

👤
Provider Name / Credentials Updated August 13, 2008

Recorded as LANCE SKIDMORE, D.D.S.,M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2008

Dentist (License #23788 in TX)

🟢
Initial NPI Registration & Enumeration December 15, 2006

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: 1912069840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2006
Last Update: August 13, 2008
Sole Proprietor: Yes

Mailing Address

2014 W Beauregard Ave

San Angelo, TX 769013813

Phone: 3257169597

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.