Theresa M Smith DDS Carlos E Vila DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

05026265L Issued in PA

Legal business name

THERESA M SMITH DDS CARLOS E VILA DDS PC

Practice address

195 W. Lancaster Ave
Suite I
Paoli, PA 19301-1748

Phone

(610) 296-7797

Fax

(610) 240-9909

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Theresa M Smith, DDSNPI 1396872123

Title

Doctor

Phone

(610) 296-7797

Specialties & licenses 2

Addresses

Locations

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.

• Theresa M Smith, DDS

  • Dentist
  • Paoli, PA
  • NPI 1396872123
  Authorized official Same address or phone

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1992070791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W. LANCASTER AVE",
            "address_2": "SUITE I",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011748",
            "telephone_number": "610-296-7797",
            "fax_number": "610-240-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W. LANCASTER AVE",
            "address_2": "SUITE I",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011748",
            "telephone_number": "610-296-7797",
            "fax_number": "610-240-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA M SMITH DDS CARLOS E VILA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "610-296-7797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "05026265L",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "05026234L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Early Intervention Play Studio LLC
• The Fox Medical Oncology Center, PC
• The Light Program, Inc. (The Light Program)
• The Modern Country Doctor, LLC
• The Willow Space for Trauma Treatment LLC
• Michael Edmond Theriault, M.D.
• Nita K Thingalaya, M.D.
• Think Oral Implants and Periodontics PLLC
• Thomas H. Graham (Graham Neurological Associates)
• Thomas Pingue Pmhnp-BC LLC (Mindful Presence Behavioral Health Services)

• General Practice Dentistry in Paoli, PA
• Providers in Paoli, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.