Organization
BARBOURVILLE FAMILY DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A J SMITH JR. DMD (DENTIST)
(606) 545-7715
Entity
Organization
Contact information
Practice address
201 N ALLISON AVE, BARBOURVILLE, KY 40906-1336
(606) 545-7715
(606) 546-2337
Mailing address
201 N ALLISON AVE, BARBOURVILLE, KY 40906-1336
(606) 545-7715
(606) 546-2337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7386
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1341350
UNITED CONCORDIA
KY
05
—
60000924
—
KY
Enumeration date
01/24/2007
Last updated
08/22/2020
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