Yvda PA LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YVDA PA LLC

Practice address

28 Long Sands Rd Ste 2
York, ME 03909-1166

Phone

(207) 363-6551

Fax

(207) 363-1335

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Smith, DDSNPI 1437768710

Title

Owner

Phone

(207) 570-0764

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Gregory Smith, DDS

  • General Practice Dentistry
  • York, ME
  • NPI 1437768710
  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1881461838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LONG SANDS RD STE 2",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091166",
            "telephone_number": "207-363-6551",
            "fax_number": "207-363-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LONG SANDS RD STE 2",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091166",
            "telephone_number": "207-363-6551",
            "fax_number": "207-363-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVDA PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-570-0764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• York School Department
• York Village Dental LLC
• Yorkrad LLC
• Ellen D Yost, D.P.T.
• Ryan Joseph Yost, DPT
• Marketa Zietala, DPT
• Faye E. Zimmerman, LCSW
• Christine Zimmermann

• General Practice Dentistry in York, ME
• Providers in York, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.