Healthcare Provider Details

I. General information

NPI: 1841242302
Provider Name (Legal Business Name): DAVID M SKOFF DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 BEAVER GRADE RD SUITE 202
MOON TWP PA
15108-2638
US

IV. Provider business mailing address

850 BEAVER GRADE RD
MOON TWP PA
15108
US

V. Phone/Fax

Practice location:
  • Phone: 412-262-2370
  • Fax: 412-262-3437
Mailing address:
  • Phone: 412-262-2370
  • Fax: 412-262-3437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS019984L
License Number StatePA

VIII. Authorized Official

Name: DR. DAVID MICHAEL SKOFF
Title or Position: PRESIDENT OWNER
Credential: DMD
Phone: 412-262-2370