William Lester Smith Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019379 Issued in PA

Practice address

200 Betty St
Eynon, PA 18403-1224

Phone

(570) 876-4719

Fax

(570) 876-5036

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Mary Grace Rizzo-Fryzel Dental Group PLLC

  • Dentist
  • Eynon, PA
  • NPI 1346058641
  NPD (past)
• Krisiak Chiropractic, P.C.

  • Chiropractor
  • Eynon, PA
  • NPI 1730471962
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295713402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BETTY ST",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "184031224",
            "telephone_number": "570-876-4719",
            "fax_number": "570-876-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BETTY ST",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "184031224",
            "telephone_number": "570-876-4719",
            "fax_number": "570-876-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "019379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Eynon, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.