Organization Active NPI

Advanced Dental Associates of E. Stroudsburg

  • General Practice Dentistry
  • East Stroudsburg, PA
National Provider Identifier
1255519633
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS035612 Issued in PA
Legal business name
ADVANCED DENTAL ASSOCIATES OF E. STROUDSBURG
Practice address
528 Independence Rd
East Stroudsburg, PA 18301-9208
Phone
(570) 424-6560
Fax
(570) 424-6520
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Anatoly Smolyansky
Title
President
Phone
(570) 424-6560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS035612 PA Primary

Addresses

Primary practice location

528 Independence Rd
East Stroudsburg, PA 18301-9208

Mailing address

528 Independence Rd
East Stroudsburg, PA 18301-9208
Phone (570) 424-6560

National Provider Directory

National Provider Directory

Locations

528 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 424-6560

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1255519633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019208",
            "telephone_number": "570-424-6560",
            "fax_number": "570-424-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019208",
            "telephone_number": "570-424-6560",
            "fax_number": "570-424-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL ASSOCIATES OF E. STROUDSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "SMOLYANSKY",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-424-6560",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.