Provider Demographics
NPI:1508948928
Name:JOSEPH P. SMITH AND KAREN SMITH SAUNDRY DMD
Entity type:Organization
Organization Name:JOSEPH P. SMITH AND KAREN SMITH SAUNDRY DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-935-1033
Mailing Address - Street 1:2560 BRANDT SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7930
Mailing Address - Country:US
Mailing Address - Phone:724-935-1033
Mailing Address - Fax:724-935-1388
Practice Address - Street 1:2560 BRANDT SCHOOL RD
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7930
Practice Address - Country:US
Practice Address - Phone:724-935-1033
Practice Address - Fax:724-935-1388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026514 L1223G0001X
PADS025791-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty