Organization Active NPI

Smilebuilderz LLC

  • Dentist
  • Lancaster, PA
National Provider Identifier
1922124767
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS029837L Issued in PA
Legal business name
SMILEBUILDERZ LLC
Practice address
1685 Crown Ave
Suite 200
Lancaster, PA 17601-6310
Phone
(717) 481-7645
Fax
(717) 481-7655
NPI assigned
Mar 22, 2007
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dr. Anthony P Skiadas, DMDNPI 1083756886
Title
Owner and Dentist
Phone
(717) 481-7645

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 10

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS036610 PA
Dentist 122300000X DS036800 PA
Dentist 122300000X DS018166I PA
Dentist 122300000X DS027910L PA
Dentist 122300000X
Dentist 122300000X DS029837L PA Primary
Pediatric Dentistry 1223P0221X
Periodontics 1223P0300X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

1685 Crown Ave
Suite 200
Lancaster, PA 17601-6310

Mailing address

204 Butler Ave Ste 102
Lancaster, PA 17601-6307
Phone (717) 481-7645

Other practice location 1

2114 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (717) 481-7645

Other practice location 2

893 E Main St
Ephrata, PA 17522-2545
Phone (717) 481-7645

Other practice location 3

640 E Oregon Rd
Lititz, PA 17543-9202
Phone (717) 481-7645

Other practice location 4

1875 Lititz Pike Ste 9
Lancaster, PA 17601-6515
Phone (717) 454-2276

National Provider Directory

National Provider Directory

Locations

893 E Main St
Ephrata, PA 17522
Phone (717) 481-7645

1685 Crown Ave
Ste 200
Lancaster, PA 17601
Phone (717) 481-7645

204 Butler Ave
Ste 102
Lancaster, PA 17601

2114 Spring Valley Rd
Lancaster, PA 17601
Phone (717) 435-9808

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1922124767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BUTLER AVE STE 102",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016307",
            "telephone_number": "717-481-7645",
            "fax_number": "717-481-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 CROWN AVE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016310",
            "telephone_number": "717-481-7645",
            "fax_number": "717-481-7655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2114 Spring Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012427",
            "country_code": "US",
            "telephone_number": "717-481-7645",
            "fax_number": "717-735-2059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "893 E Main St",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175222545",
            "country_code": "US",
            "telephone_number": "717-481-7645",
            "fax_number": "717-735-2059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 E Oregon Rd",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439202",
            "country_code": "US",
            "telephone_number": "717-481-7645",
            "fax_number": "717-735-2059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1875 Lititz Pike Ste 9",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176016515",
            "country_code": "US",
            "telephone_number": "717-454-2276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILEBUILDERZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "SKIADAS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER AND DENTIST",
        "authorized_official_telephone_number": "717-481-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036610",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036800",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS018166I",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027910L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029837L",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.