Individual
DR. GARY E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1417 MARKET ST, CHARLESTOWN, IN 47111
(812) 256-2143
(812) 256-0420
Mailing address
1417 MARKET ST, CHARLESTOWN, IN 47111
(812) 256-2143
(812) 256-0420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009782
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J644290
BCBS
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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