Provider Demographics
NPI:1588741409
Name:SKOVRON, BETH M (DDS)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:M
Last Name:SKOVRON
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 1:595 BETHLEHEM PIKE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-9710
Mailing Address - Country:US
Mailing Address - Phone:215-792-2227
Mailing Address - Fax:215-822-3861
Practice Address - Street 1:595 BETHLEHEM PIKE
Practice Address - Street 2:SUITE 302
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936-9710
Practice Address - Country:US
Practice Address - Phone:215-792-2227
Practice Address - Fax:215-822-3861
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA029245L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA550876326OtherTAX ID#