Active NPI
Pottstown Oral & Maxillofacial Surgery Assoc. Inc
- Oral and Maxillofacial Surgery (Dentist)
- Pottstown, PA
National Provider Identifier
1285638817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- POTTSTOWN ORAL & MAXILLOFACIAL SURGERY ASSOC. INC
- Practice address
- 500 Heritage Dr
Pottstown, PA 19464-3233 - Phone
- (610) 326-7880
- Fax
- (610) 326-5491
- NPI assigned
- Jun 10, 2005
- Last updated
- Apr 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul G Smith, DMD
- Title
- President
- Phone
- (610) 326-7880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | PA | Primary |
Addresses
Primary practice location
500 Heritage Dr
Pottstown, PA 19464-3233
Mailing address
500 Heritage Dr
Pottstown, PA 19464-3233
Phone (610) 326-7880
Other practice location 1
239 S Reading Ave
Boyertown, PA 19512-1809
Phone (610) 367-6074
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03208400 | Other | PA | CAPITAL BLUE CROSS |
| 126482 | Other | PA | PERSONAL CHOICE |
| PO126482 | Other | PA | HIGHMARK |
| 001362 | Other | PA | DORAL DENTAL |
| 0048321000 | Other | PA | KEYSTONE |
| 5057 | Other | PA | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1630 E High St
Bldg 4
Pottstown, PA 19464
Phone (610) 326-7880
500 Heritage Dr
Pottstown, PA 19464
Phone (610) 326-7880
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Pottstown, PA
- NPI 1063416675
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Pottstown, PA
- NPI 1316574288
-
- Oral and Maxillofacial Surgery (Dentist)
- Pottstown, PA
- NPI 1316163397
-
- Oral and Maxillofacial Surgery (Dentist)
- Langhorne, PA
- NPI 1336322197
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Pottstown, PA
- NPI 1023338845
-
- Oral and Maxillofacial Surgery (Dentist)
- Pottstown, PA
- NPI 1215932181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1285638817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HERITAGE DR",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194643233",
"telephone_number": "610-326-7880",
"fax_number": "610-326-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HERITAGE DR",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194643233",
"telephone_number": "610-326-7880",
"fax_number": "610-326-5491"
}
],
"practiceLocations": [
{
"address_1": "239 S Reading Ave",
"address_purpose": "LOCATION",
"city": "Boyertown",
"state": "PA",
"postal_code": "195121809",
"country_code": "US",
"telephone_number": "610-367-6074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "POTTSTOWN ORAL & MAXILLOFACIAL SURGERY ASSOC. INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-10",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-326-7880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03208400",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "126482",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "PO126482",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL DENTAL",
"identifier": "001362",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0048321000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "5057",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pottstown, PA
- Pottstown Medical Specialists, Inc.
- Pottstown Medical Specialists, Inc.
- Pottstown Medical Specialists, Inc.
- Pottstown Memorial Medical Center
- Pottstown Memorial Medical Center
- Pottstown Pathology Associates LLC
- Pottstown Pediatric Dentistry & Orthodontics PC
- Pottstown Psychiatric Associates
- Pottstown Regional Radiation Oncology PC
- Pottstown Rehabilitation & Nursing, LLC (Kadima Rehabilitation & Nursing at Pottstown)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.