Provider Demographics
NPI:1831309020
Name:SMITH, DWIGHT G (MD)
Entity Type:Individual
Prefix:DR
First Name:DWIGHT
Middle Name:G
Last Name:SMITH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:225 WATER ST
Mailing Address - Street 2:SUITE A140
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360
Mailing Address - Country:US
Mailing Address - Phone:508-717-5937
Mailing Address - Fax:508-927-8289
Practice Address - Street 1:225 WATER ST
Practice Address - Street 2:SUITE A140
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:508-717-5937
Practice Address - Fax:508-927-8289
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2016-04-05
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Provider Licenses
StateLicense IDTaxonomies
MA2420422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry