Provider Demographics
NPI:1710493788
Name:ROBERT J. SKIFFEY DDS INC
Entity Type:Organization
Organization Name:ROBERT J. SKIFFEY DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SKIFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-336-6611
Mailing Address - Street 1:300 WEATHERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-7833
Mailing Address - Country:US
Mailing Address - Phone:330-336-6611
Mailing Address - Fax:
Practice Address - Street 1:300 WEATHERSTONE DR
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-7833
Practice Address - Country:US
Practice Address - Phone:330-336-6611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty