| Ballard C. Smith, Pllc | |
|
399 W Maple Leaf Rd Maysville KY 41056-9176 | |
| (606) 564-9495 | |
| (606) 564-9495 |
| Full Name | Ballard C. Smith, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 399 W Maple Leaf Rd, Maysville, Kentucky |
| Authorized Official Name and Position | Ballard C. Smith (OWNER) |
| Authorized Official Contact | 6065649495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballard C. Smith, Pllc 399 W Maple Leaf Rd Maysville KY 41056-9176 Ph: (606) 564-9495 | Ballard C. Smith, Pllc 399 W Maple Leaf Rd Maysville KY 41056-9176 Ph: (606) 564-9495 |
| NPI Number | 1902040553 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 04/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902040553 | NPI | - | NPPES |
| 7100062900 | Medicaid | KY | |
| 000000529364 | Other | ANTHEM | |
| 7100062920 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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