# JASON R. SMITH, DMD, FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1235414558
- **Authorized official:** DR. JASON RAY SMITH D.M.D (DENTIST/OWNER)
- **Authorized official phone:** (270) 524-5422

## Contact information

- **Practice address:** 663 MAIN ST, MUNFORDVILLE, KY 42765-9436
- **Practice address phone:** (270) 524-5422
- **Practice address fax:** (270) 524-5847
- **Mailing address:** PO BOX 68, MUNFORDVILLE, KY 42765-0068
- **Mailing address phone:** (270) 524-5422
- **Mailing address fax:** (270) 524-5847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8090 | KY | Yes |

## Other

- **Enumeration date:** 10/18/2011
- **Last updated:** 10/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60003977 | — | KY |