Organization
BALLARD C. SMITH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALLARD C. SMITH DMD (OWNER)
(606) 564-9495
Entity
Organization
Contact information
Practice address
399 W MAPLE LEAF RD, MAYSVILLE, KY 41056-9176
(606) 564-9495
(606) 564-9495
Mailing address
399 W MAPLE LEAF RD, MAYSVILLE, KY 41056-9176
(606) 564-9495
(606) 564-9495
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000529364
ANTHEM
—
05
—
7100062900
—
KY
05
—
7100062920
—
KY
Enumeration date
04/27/2009
Last updated
04/28/2009
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