Provider Demographics
NPI:1649222100
Name:SKOFF, JOSEPH J (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:SKOFF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3532 BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-3109
Mailing Address - Country:US
Mailing Address - Phone:724-728-5360
Mailing Address - Fax:724-728-4336
Practice Address - Street 1:3532 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-3109
Practice Address - Country:US
Practice Address - Phone:724-728-5360
Practice Address - Fax:724-728-4336
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026414L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019436740001Medicaid
PA0019436740002Medicaid