# BALLARD C SMITH PLLC

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

## Provider details

- **NPI number:** 1508023821
- **Authorized official:** BALLARD C SMITH DMD (OWNER)
- **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:** 709 W MAIN ST, MOREHEAD, KY 40351-1443
- **Mailing address phone:** (606) 784-8983
- **Mailing address fax:** (606) 784-4408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 04/28/2009