Eric Robert Smevog, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS022879L Issued in PA

Practice address

12022 Beacon Hill Dr
Holland, PA 18966-5319

Phone

(215) 968-4428

NPI assigned

Dec 13, 2013

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1245651413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 BEACON HILL DRIVE",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662537",
            "telephone_number": "215-968-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12022 BEACON HILL DR",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189665319",
            "telephone_number": "215-968-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEVOG",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS022879L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Truitt Sherr, MD
• Leslee Sholomskas
• Anna Shusharina, CRNP
• Roseann C. Silver, MSN, CRNP
• Dominique Simone Rosenblatt
• Charles W Smith, PT
• Susan Moore
• Danielle Teitelman, D.M.D.
• Louis Todd Teller, PH.D.
• Christine Telsey, CCC-SLP

• Dentist in Holland, PA
• Providers in Holland, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.