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Individual

DR. WALTER HAYWOOD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2505 LARKIN ROAD, SUITE 201, LEXINGTON, KY 40503
(859) 278-6009
(859) 278-4443
Mailing address
2505 LARKIN ROAD, SUITE 201, LEXINGTON, KY 40503
(859) 278-6009
(859) 278-4443

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4084
KY
1223P0221X
Pediatric Dentistry
Primary
195
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4084
STATE LICENSE NUMBER
KY
01
STATE LICENSE NUMBER
195 PEDIATRIC DENTISTRY
KY
Enumeration date
10/04/2006
Last updated
09/11/2025
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