Provider Demographics
NPI:1831153378
Name:SKAFF, DON E (DDS)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:E
Last Name:SKAFF
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:4502 MACCORKLE AVE SE
Mailing Address - Street 2:SUITE C
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1835
Mailing Address - Country:US
Mailing Address - Phone:304-926-9260
Mailing Address - Fax:304-926-9266
Practice Address - Street 1:4502 MACCORKLE AVE SE
Practice Address - Street 2:SUITE C
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1835
Practice Address - Country:US
Practice Address - Phone:304-926-9260
Practice Address - Fax:304-926-9266
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WVWV28691223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0138545000Medicaid