Glenn Douglas Smiley, DDS
Individual provider Active NPI General Practice Dentistry · Smithfield, PA
NPI 1043393606 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043393606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS023229L (PA)
- Practice address
- 3090 Morgantown Rd
Smithfield, PA 15478 - Phone
- (724) 569-4400
- Fax
- (724) 569-1742
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS023229L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS023229L | PA | Yes |
Addresses
Primary practice location
3090 Morgantown Rd
Smithfield, PA 15478
Mailing address
3090 Morgantown Rd
Smithfield, PA 15478
Phone (724) 569-4400
Other providers in Smithfield, PA
- Lindsey Robinson
- Michael David Rua
- Christina M Sapp
- David Carlton Seitz
- Shalee Lynn Shumiloff
- Smithfield Chiropractic Center PC
- Kendell M Sogliero
- Gary B Sutton
- Betty Rachel Thomas
- Abraham Roberto Valenzuela
All providers in Smithfield, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.