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Organization
BALLARD C SMITH PLLC
Active
Organization
BALLARD C SMITH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALLARD C SMITH DMD (OWNER)
(606) 784-8983
Entity
Organization
Contact information
Practice address
709 W MAIN ST, MOREHEAD, KY 40351-1443
(606) 784-8983
(606) 784-4408
Mailing address
709 W MAIN ST, MOREHEAD, KY 40351-1443
(606) 784-8983
(606) 784-4408
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
04/28/2009
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