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Contact Information

HENRY G SMITH, DMD MD
1900 N MAIN ST
MADISONVILLE, KY42431-9443
 Phone: 270-245-2105
 Fax: 270-452-2355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HENRY G SMITH · (Male)

NPI # 1235124637
Status Active
Credentials DMD MD
Entity Individual
Enumeration date 09/13/2005
Last updated 02/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 41340
  • WV License # 22000
  • KY Medicaid 7100023940
  • KY Other 000000532699 BCBS
Hospital affiliation(s)
  • LOURDES HOSPITAL - (Acute Care)
    1530 LONE OAK ROAD
    PADUCAH, KY 42003
  • WESTERN BAPTIST HOSPITAL - (Acute Care)
    2501 KENTUCKY AVENUE
    PADUCAH, KY 42003
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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