Organization
KENNETH J SMITH DDS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J SMITH JR. DDS (PRESIDENT)
(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
504 SKAGGS RD, MOREHEAD, KY 40351-8852
(606) 784-7679
(606) 784-4408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60043007
—
KY
05
—
61941233
—
KY
05
—
64043003
—
KY
05
—
65911950
—
KY
Enumeration date
10/17/2006
Last updated
09/11/2025
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