Organization
MICHAEL R SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R SMITH DMD (DR.)
(606) 549-0374
Entity
Organization
Contact information
Practice address
821 SOUTH HWY 25 W, WILLIAMSBURG, KY 40769
(606) 549-0374
(606) 549-0426
Mailing address
PO BOX 547, WILLIAMSBURG, KY 40769-0547
(606) 549-0374
(606) 549-0426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61901203
—
KY
Enumeration date
02/13/2007
Last updated
08/22/2020
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