# KENNETH J SMITH DDS

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

## Provider details

- **NPI number:** 1457411415
- **Authorized official:** MR. KENNETH J SMITH DDS (PRESIDENT)
- **Authorized official phone:** (606) 784-8983

## Contact information

- **Practice address:** 399 W MAPLE LEAF RD, MAYSVILLE, KY 41056-9176
- **Practice address phone:** (606) 564-9495
- **Practice address fax:** (606) 564-9495
- **Mailing address:** 399 W MAPLE LEAF RD, MAYSVILLE, KY 41056-9176
- **Mailing address phone:** (606) 564-9495
- **Mailing address fax:** (606) 564-9495

## 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:** 12/11/2006
- **Last updated:** 09/11/2025