Andrea Lynn Smith, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DS037153 Issued in PA

Practice address

4225 Main Street
105 Darby Square
Elverson, PA 19520

Phone

(610) 286-1600

Fax

(610) 779-6162

NPI assigned

Jul 17, 2009

Last updated

Nov 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1043440589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 SAINT LAWRENCE AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062325",
            "telephone_number": "610-779-8181",
            "fax_number": "610-779-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 MAIN STREET",
            "address_2": "105 DARBY SQUARE",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "19520",
            "telephone_number": "610-286-1600",
            "fax_number": "610-779-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS037153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Russell, MIDWIFE
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• Joshua Shultz
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• Chelsea Stitt, DPT
• Ashley Sutton, PSY.D.
• Amanda Marie Talucci, IBCLC

• Prosthodontics in Elverson, PA
• Providers in Elverson, PA by specialty
• Prosthodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.