Individual
DR. EDWIN EARL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16 WINDBURN DR, BARBOURVILLE, KY 40906-7843
(606) 546-8217
(606) 545-7261
Mailing address
PO BOX 787, BARBOURVILLE, KY 40906
(606) 546-8217
(606) 545-7261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6381
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60063815
—
KY
Enumeration date
09/15/2006
Last updated
04/19/2012
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