Skoch, Steven A
Skoch, Steven A is an individual health care provider with primary practice located at 3996 N Frontage Rd , Fayetteville AR 72703-5122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Skoch, Steven A can be contacted via phone (479) 582-3002.Contact Information
Primary practice address
3996 N Frontage Rd
Fayetteville AR 72703-5122
Phone: (479) 582-3002
Fax: (479) 582-2840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 2826 | Arkansas |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2826 | Arkansas |
Profile Details
| NPI number | 1699823948 |
|---|---|
| LBN Legal business name | Skoch, Steven A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jun 7th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699823948 | NPPES |
| Arkansas | Other | 234282400 | DEPT OF LABOR WORKERS COM |
| Arkansas | MEDICAID | 136420679 | DEPT OF LABOR WORKERS COM |
| Arkansas | Other | 985779 | DEPT OF LABOR WORKERS COM |
| Arkansas | Other | 58187 | DEPT OF LABOR WORKERS COM |
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