Individual
DENNIS W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1275 E NORTH ST, CROWN POINT, IN 46307-3538
(219) 663-9446
(219) 663-9450
Mailing address
1275 E NORTH ST, CROWN POINT, IN 46307-3538
(219) 663-9446
(219) 663-9450
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
07000765
IN
213ES0000X
Sports Medicine Podiatrist
07000765
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000765
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100147400
—
IN
Enumeration date
08/26/2005
Last updated
03/10/2020
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