Provider Demographics
NPI:1619180445
Name:SMITH, INSOOK BAIK (DDS)
Entity Type:Individual
Prefix:DR
First Name:INSOOK
Middle Name:BAIK
Last Name:SMITH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120B W ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5306
Mailing Address - Country:US
Mailing Address - Phone:336-627-5206
Mailing Address - Fax:
Practice Address - Street 1:120B W ARBOR LN
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5306
Practice Address - Country:US
Practice Address - Phone:336-627-5206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC92021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice