Individual
DR. DAVID K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1615 EASTERN AVE, GALLIPOLIS, OH 45631-1736
(740) 446-3191
(740) 446-3914
Mailing address
1615 EASTERN AVE, GALLIPOLIS, OH 45631-1736
(740) 446-3191
(740) 446-3914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0520681
—
OH
01
—
311104315026
CARESOURCE
OH
01
—
9185648
DORAL-MOLINA,UNISON
OH
Enumeration date
01/16/2007
Last updated
07/09/2007
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