Organization Active NPI

David a. Reese DDS PC

Doing business as Smiles on Broadway

  • General Practice Dentistry
  • Hanover, PA
National Provider Identifier
1609901180
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS022762L Issued in PA
Legal business name
DAVID A. REESE DDS PC
Doing business as
Smiles on Broadway
Practice address
214 Broadway
Hanover, PA 17331-2501
Phone
(717) 637-2255
Fax
(717) 637-3553
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Allison Reese, D.D.S.NPI 1508092636
Title
President
Phone
(717) 637-2255

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS022762L PA Primary

Addresses

Primary practice location

214 Broadway
Hanover, PA 17331-2501

Mailing address

214 Broadway
Hanover, PA 17331-2501
Phone (717) 637-2255

Other names 1

  • Smiles on Broadway Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609901180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BROADWAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312501",
            "telephone_number": "717-637-2255",
            "fax_number": "717-637-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BROADWAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312501",
            "telephone_number": "717-637-2255",
            "fax_number": "717-637-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. REESE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-637-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022762L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles on Broadway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.