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Contact Information

KENNETH J SMITH DDS
399 W MAPLE LEAF RD
MAYSVILLE, KY41056-9176
 Phone: 606-564-9495
 Fax: 606-564-9495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KENNETH J SMITH DDS · (Female)

NPI Number 1457411415
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 60043007
  • KY Medicaid 61941308
  • KY Medicaid 64043003
  • KY Medicaid 65912131
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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