Provider Demographics
NPI:1043440589
Name:SMITH, ANDREA LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:LYNN
Last Name:SMITH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:3528 SAINT LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-2325
Mailing Address - Country:US
Mailing Address - Phone:610-779-8181
Mailing Address - Fax:610-779-6162
Practice Address - Street 1:4225 MAIN STREET
Practice Address - Street 2:105 DARBY SQUARE
Practice Address - City:ELVERSON
Practice Address - State:PA
Practice Address - Zip Code:19520
Practice Address - Country:US
Practice Address - Phone:610-286-1600
Practice Address - Fax:610-779-6162
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS0371531223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics