Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Calvin Tyler Skinner, DDS

Individual provider General Practice Dentistry · NPI 1801406731

Dr. Calvin Tyler Skinner, DDS is a General Practice Dentistry in Boise, Idaho. Works from 3 locations. Licensed in Idaho and Oregon.

Licensed in
ID, OR
In the registry since
2020
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1175 E Parkcenter Blvd
Boise, ID 83706-6751
Phone: (208) 888-5544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4871762 (ID)
Dentist Taxonomy 122300000X · Licence D11305 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801406731
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 5, 2020
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address1455 E Jade Creek St, Eagle, ID 83616-7521

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