Provider Demographics
NPI:1962548586
Name:SMEDLEY, LARRY C (DDS)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:C
Last Name:SMEDLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:797 E LANCASTER AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3360
Mailing Address - Country:US
Mailing Address - Phone:610-269-6065
Mailing Address - Fax:610-269-3578
Practice Address - Street 1:797 E LANCASTER AVE STE 4
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3360
Practice Address - Country:US
Practice Address - Phone:610-269-6065
Practice Address - Fax:610-269-3578
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0179201223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics