Organization
KIDS FIRST DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN E. SMITH DMD (OWNER)
(606) 546-7410
Entity
Organization
Contact information
Practice address
119 PINE ST, BARBOURVILLE, KY 40906-1517
(606) 546-7410
(606) 545-7261
Mailing address
119 PINE ST, BARBOURVILLE, KY 40906-1517
(606) 546-7410
(606) 545-7261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6381
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61901070
—
KY
Enumeration date
06/06/2007
Last updated
04/20/2012
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