KENNETH J SMITH DDS; NPI #1457411415

Contact Information

KENNETH J SMITH DDS

399 W MAPLE LEAF RD
MAYSVILLE, KY 41056-9176

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

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NPI Profile & details for KENNETH J SMITH DDS

NPI Number 1457411415

LBN Legal business name KENNETH J SMITH DDS

Authorized official KENNETH SMITH - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/11/2006

Last updated 09/11/2025 - About 9 months ago

Identifiers

KY	Medicaid	60043007
KY	Medicaid	61941308
KY	Medicaid	64043003
KY	Medicaid	65912131

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KENNETH J SMITH DDS

Contact Information

Specialty

Oral & Maxillofacial Surgery

Dentist

NPI Profile & details for KENNETH J SMITH DDS

Reviews for KENNETH J SMITH DDS