# MICHAEL R SMITH

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

## Provider details

- **NPI number:** 1831231711
- **Authorized official:** DR. MICHAEL R SMITH DMD (DR.)
- **Authorized official phone:** (606) 549-0374

## Contact information

- **Practice address:** 821 SOUTH HWY 25 W, WILLIAMSBURG, KY 40769
- **Practice address phone:** (606) 549-0374
- **Practice address fax:** (606) 549-0426
- **Mailing address:** PO BOX 547, WILLIAMSBURG, KY 40769-0547
- **Mailing address phone:** (606) 549-0374
- **Mailing address fax:** (606) 549-0426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5249 | KY | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 61901203 | — | KY |