Individual
DR. JOHN RANDALL SMOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
108 MEDICAL PARK DR, CAMPBELLSVILLE, KY 42718-7638
(270) 465-7781
(270) 465-7781
Mailing address
108 MEDICAL PARK DR, CAMPBELLSVILLE, KY 42718-7638
(270) 465-7781
(270) 465-7781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7482
KY
Other
Enumeration date
12/06/2006
Last updated
09/10/2015
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