# KIDS FIRST DENTAL CARE, LLC

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

## Provider details

- **NPI number:** 1366645749
- **Authorized official:** MR. EDWIN E. SMITH DMD (OWNER)
- **Authorized official phone:** (606) 546-7410

## Contact information

- **Practice address:** 119 PINE ST, BARBOURVILLE, KY 40906-1517
- **Practice address phone:** (606) 546-7410
- **Practice address fax:** (606) 545-7261
- **Mailing address:** 119 PINE ST, BARBOURVILLE, KY 40906-1517
- **Mailing address phone:** (606) 546-7410
- **Mailing address fax:** (606) 545-7261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6381 | KY | Yes |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 04/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 61901070 | — | KY |