Individual
HENRY GARTH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
1900 N MAIN ST, MADISONVILLE, KY 42431-9443
(270) 245-2105
(270) 452-2355
Mailing address
1900 N MAIN ST, MADISONVILLE, KY 42431-9443
(270) 245-2105
(270) 452-2355
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
22000
WV
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
41340
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000532699
BCBS
KY
05
—
7100023940
—
KY
Enumeration date
09/13/2005
Last updated
02/03/2014
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