Individual
DR. PAUL G SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1630 E HIGH ST, BLDG 4, POTTSTOWN, PA 19464-3244
(610) 326-7880
(610) 326-5491
Mailing address
1630 E HIGH ST, BLDG 4, POTTSTOWN, PA 19464-3244
(610) 326-7880
(610) 326-5491
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-027072L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001362
DORAL DENTAL
PA
01
—
0068555
AETNA HMO
PA
01
—
03208601
CAPITAL BLUE CROSS
PA
01
—
0450572000
KEYSTONE HEALTH PLAN EAST
PA
01
—
1244005-005
CIGNA
PA
01
—
4273120
AETNA COMMERCIAL PLANS
PA
01
—
SM621130
HIGHMARK
PW
Enumeration date
06/10/2005
Last updated
07/09/2007
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