| Kenneth J Smith Dds | |
|
399 W Maple Leaf Rd Maysville KY 41056-9176 | |
| (606) 564-9495 | |
| (606) 564-9495 |
| Full Name | Kenneth J Smith Dds |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 399 W Maple Leaf Rd, Maysville, 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 399 W Maple Leaf Rd Maysville KY 41056-9176 Ph: (606) 564-9495 | Kenneth J Smith Dds 399 W Maple Leaf Rd Maysville KY 41056-9176 Ph: (606) 564-9495 |
| NPI Number | 1457411415 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457411415 | NPI | - | NPPES |
| 65912131 | Medicaid | KY | |
| 60043007 | Medicaid | KY | |
| 61941308 | Medicaid | KY | |
| 64043003 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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