# KENNETH J SMITH DDS PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164502522
- **Authorized official:** DR. KENNETH J SMITH JR. DDS (PRESIDENT)
- **Authorized official phone:** (606) 784-8983

## Contact information

- **Practice address:** 709 W MAIN ST, MOREHEAD, KY 40351-1443
- **Practice address phone:** (606) 784-8983
- **Practice address fax:** (606) 784-4408
- **Mailing address:** 504 SKAGGS RD, MOREHEAD, KY 40351-8852
- **Mailing address phone:** (606) 784-7679
- **Mailing address fax:** (606) 784-4408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 09/11/2025