Individual
DR. ROGER D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD PSC
Contact information
Practice address
933 RUSSELL RD STE 103, COLUMBIA, KY 42728-1054
(270) 384-5155
(270) 384-6757
Mailing address
933 RUSSELL RD STE 103, COLUMBIA, KY 42728-1054
(270) 384-5155
(270) 384-6757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4241
KY
Other
Enumeration date
10/03/2006
Last updated
09/02/2008
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