Organization
ADVANCED BARIATRIC CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE V SMTIH M.D. (MEDICAL DOCTOR)
(859) 426-7000
Entity
Organization
Contact information
Practice address
20 MEDICAL VILLAGE DR, SUITE 105, EDGEWOOD, KY 41017-5401
(859) 426-7000
(859) 426-7010
Mailing address
415 GREENWELL AVE, CINCINNATI, OH 45238-5302
(513) 557-3507
(513) 557-3506
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23626
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2268148
—
OH
Enumeration date
06/04/2006
Last updated
08/22/2020
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