Mr Kenneth J Smith, DDS is a
Oral & Maxillofacial Surgery based in Morehead, Kentucky. Mr Kenneth J Smith is licensed to practice in Kentucky (license number 4300) and his current practice location is
709 W Main St, Morehead, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 784-8983.
NPI number for Mr Kenneth J Smith is 1487611406 and his current mailing address is 504 Skaggs Rd, Morehead, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487611406.
Healthcare Provider's Profile
| Full Name | Mr Kenneth J Smith |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
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| Location | 709 W Main St, Morehead, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487611406
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Kenneth J Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487611406 | NPI | - | NPPES |
| 60043007 | Medicaid | KY | |
| 64043003 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 4300 (Kentucky) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 4300 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth J Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kenneth J Smith, DDS
504 Skaggs Rd,
Morehead, KY 40351-8852
Ph: (606) 784-7679 | Mr Kenneth J Smith, DDS
709 W Main St,
Morehead, KY 40351-1443
Ph: (606) 784-8983 |
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