Provider Demographics
NPI:1841571080
Name:SKARIA, BEENA VALIAPARAMPIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:BEENA
Middle Name:VALIAPARAMPIL
Last Name:SKARIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13033 S LA GRANGE RD
Mailing Address - Street 2:
Mailing Address - City:PALOS PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60464-1718
Mailing Address - Country:US
Mailing Address - Phone:847-716-3100
Mailing Address - Fax:847-496-5815
Practice Address - Street 1:13033 S LA GRANGE RD
Practice Address - Street 2:
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464-1718
Practice Address - Country:US
Practice Address - Phone:708-361-4300
Practice Address - Fax:708-361-4301
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60840122300000X
MO2011016406122300000X
IL019.029330122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist