| Ballard C Smith Pllc | |
|
709 W Main St Morehead KY 40351-1443 | |
| (606) 784-8983 | |
| (606) 784-4408 |
| Full Name | Ballard C Smith Pllc |
|---|---|
| Speciality | Dentist |
| Location | 709 W Main St, Morehead, Kentucky |
| Authorized Official Name and Position | Ballard C Smith (OWNER) |
| Authorized Official Contact | 6067848983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballard C Smith Pllc 709 W Main St Morehead KY 40351-1443 Ph: (606) 784-8983 | Ballard C Smith Pllc 709 W Main St Morehead KY 40351-1443 Ph: (606) 784-8983 |
| NPI Number | 1508023821 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 04/28/2009 |
| Medicare PECOS PAC ID | 0941373757 |
|---|---|
| Medicare Enrollment ID | O20080725000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508023821 | NPI | - | NPPES |
| 7100013150 | Medicaid | KY | |
| 7100062910 | Medicaid | KY | |
| 7100010590 | Medicaid | KY | |
| 7100062890 | Medicaid | KY | |
| 000000529364 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Ballard C Smith |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043434954 PECOS PAC ID: 4789757584 Enrollment ID: I20080725000581 |
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