At ENTACC, our patients are our priority.

Joseph L Smith, II, MD, FACS, FAAOA, FAASM

ENTACC Sinus, Audiology, Sleep Medicine and Allergy Professionals

Voted a “Top Doc” by Philadelphia Magazine, Top Doc issue, Dr. Smith is a Jefferson Medical School graduate who trained in otolaryngology and otolaryngic allergy. Honored with a fellowship in the American Academy of Otolaryngic Allergy, Dr. Smith is the medical director of Ear, Nose & Throat Associates of Chester County Allergy, a state-of-the-art facility where Sublingual Immunotherapy (SLIT) was introduced to our local community. Dr. Smith has done extensive research in this area and has been recognized for his national presentations on the subject.

Dr. Smith has also been instrumental in bringing balloon sinuplasty to our community hospitals. This innovative, sinus surgical technique is less invasive, and offers patients a faster recovery.

In addition, Dr. Smith is board certified in sleep medicine and honored with a fellowship in the American Academy of Sleep Medicine. He is excited to offer the new convenient home sleep studies, and multiple treatment options.

Dr. Smith’s areas of special interest are allergy and asthma, sleep and snoring disorders, sinus disease, and hearing loss. During his free time, Dr. Smith enjoys fly fishing, beekeeping and spending time with his family.

Voted "Top Doctor" by Philadelphia Magazine

Voted “Top Doc” by Main Line Today Magazine
Voted “Top Doc” by Suburban Life Magazine

Professional Organizations:

American Academy of Otolaryngology- Head and Neck Surgery
American Academy of Sleep Medicine
American College of Surgeons
American Academy of Otolaryngic Allergy


Chester County Hospital
Brandywine Hospital
Turks Head Surgery Center
Paoli Hospital

Erin O. from Downingtown, PA

“I had stopped taking my allergy medicine and ended up with the worse sinus infection of my life. The staff at Ear, Nose & Throat Associates of Chester County genuinely will provide you with the best care. I was overwhelmed by the kindness, concern, and sense of urgency everyone gave. My phone calls were returned promptly and time was made to see me in the office when it was an emergency.”

Connie J. from West Chester, PA

“I can say after years of coming to Ear, Nose & Throat Associates of Chester County, my relationship and trust with Dr. Marriotti has grown tremendously. He is personable, friendly and I appreciate his input with my hearing condition. The staff at Ear, Nose & Throat Associates of Chester County is always cheery and pleasant. I enjoy my visits and always leave feeling like I am in good hands.”

Dauna P. from University Lincoln, PA

“I am so grateful for the care Dr. Picariello has given for my complex and serious brain diagnosis. He has made such an impression on the way the process was handled. I shall never forget him and how humble he was when dealing with my condition. He is truly one of the best around and I am fortunate for his high ethical standards and professionalism.”

Kathy S. from Schwenksvile, PA

“The knowledge, encouragement, concern, and individual attention the doctors of Ear, Nose & Throat Associates of Chester County had demonstrated was far beyond my expectations. The office atmosphere is professional yet friendly. The doctors know their profession well and are able to explain in basic understandable terms. They made sure we were comfortable and took their time going over everything extensively.”

James B., from Coatesville, PA

“The allergy shot process has been a great experience and has prevented a reoccurrence of my nasal polyps, and decreased the need for my asthma inhaler. The allergy staff is excellent.”