Provider Demographics
NPI:1225170335
Name:SKAFF, GEORGE (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:SKAFF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:GEORGES
Other - Middle Name:
Other - Last Name:SKAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1634 MACARTHUR RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-5730
Mailing Address - Country:US
Mailing Address - Phone:610-433-3361
Mailing Address - Fax:610-433-2120
Practice Address - Street 1:1634 MACARTHUR RD
Practice Address - Street 2:SUITE 2
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-5730
Practice Address - Country:US
Practice Address - Phone:610-433-3361
Practice Address - Fax:610-433-2120
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029645L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist