Active NPI
Anatoly Smolyansky, DDS
- Dentist
- Bangor, PA
National Provider Identifier
1326167040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS035612
- Practice address
- 854 Market St
Bangor, PA 18013-1608 - Phone
- (610) 588-0840
- Fax
- (610) 588-0835
- NPI assigned
- Mar 28, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS035612 | PA | Primary |
Addresses
Primary practice location
854 Market St
Bangor, PA 18013-1608
Mailing address
PO Box 32
Bangor, PA 18013-0032
Phone (973) 704-6616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS035612 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326167040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"city": "BANGOR",
"state": "PA",
"postal_code": "180130032",
"telephone_number": "973-704-6616",
"fax_number": "610-588-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 MARKET ST",
"city": "BANGOR",
"state": "PA",
"postal_code": "180131608",
"telephone_number": "610-588-0840",
"fax_number": "610-588-0835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOLYANSKY",
"first_name": "ANATOLY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS035612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, PA
- Slate Belt Optical & Hearing Center, LLC
- Slate Belt Optical & Hearing Center, LLC. (Slate Belt Safety)
- Slate Belt Optical, LLC.
- Slate Belt Visiting Nurses, Inc.
- Slatebelt Drugs Inc (Slate Belt Pharmacy)
- Marissa Spencer, LMT
- St Luke's Physician Group, Inc (St. Luke's Bangor Primary Care)
- St. Luke's Physician Group, Inc. (St. Luke's Internal Medicine Bangor)
- Beth Ann Sterner
- Scott Michael Stouffer, PTA
Sources for this page
- 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.