Betsy Hutson Smith
Individual provider Active NPI Dentist · Oaktown, IN
NPI 1639740574 · NPPES record last updated May 11, 2022
Key facts
- NPI
- 1639740574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12013657A (IN)
- Practice address
- 100 N Broadway St.
Oaktown, IN 47561 - Phone
- (812) 745-4151
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013657A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L Renee Goodwin DDS Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12013657A | IN | Yes |
Addresses
Primary practice location
100 N Broadway St.
Oaktown, IN 47561
Mailing address
PO Box 269
Oaktown, IN 47561-0269
Phone (812) 745-4151
Other providers in Oaktown, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.