Skyway Dental Clinic, P.L.L.C.

Dentist, General Practice in Minneapolis, MN. Organization (NPI-2).

NPI number1144307232

StatusActive

Last updated in NPPESMar 22, 2021

Details

NPI: 1144307232
Entity type: Organization (NPI-2)
Legal business name: Skyway Dental Clinic, P.L.L.C.
Organization subpart: No
Enumeration date: Nov 1, 2006
Certification date: Mar 22, 2021
Last updated: Mar 22, 2021

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	D9274	MN	Yes
1223G0001X	Dentist, General Practice	–	–

Other names

Skyway Dental Clinic (Doing Business As)
Dr. Fredrick R Schilling DDS PA (Former Legal Business Name)

Practice location

250 2nd Ave S.
Suite 250
Minneapolis, MN 55401

Phone 612-338-4122 · Fax 612-338-1713

Mailing address

250 2nd Ave S, Suite 250
Minneapolis, MN 55401

Phone 612-338-4122 · Fax 612-338-1713

Authorized official

Margaret Craven Thompson
Owner Dentist
6123384122

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Dentistry providers in Minneapolis, MN

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