| Kenneth J Smith Dds Psc | |
|
709 W Main St Morehead KY 40351-1443 | |
| (606) 784-8983 | |
| (606) 784-4408 |
| Full Name | Kenneth J Smith Dds Psc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 709 W Main St, Morehead, Kentucky |
| Authorized Official Name and Position | Kenneth J Smith (PRESIDENT) |
| Authorized Official Contact | 6067848983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Smith Dds Psc 504 Skaggs Rd Morehead KY 40351-8852 Ph: (606) 784-7679 | Kenneth J Smith Dds Psc 709 W Main St Morehead KY 40351-1443 Ph: (606) 784-8983 |
| NPI Number | 1164502522 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164502522 | NPI | - | NPPES |
| 61941233 | Medicaid | KY | |
| 64043003 | Medicaid | KY | |
| 60043007 | Medicaid | KY | |
| 65911950 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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