Dr. Ballard Cassady Smith
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
709 W Main St
Morehead
, Kentucky 40351-1443
Dr. Ballard Cassady Smith
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
709 W Main St
Morehead
, Kentucky 40351-1443
(606) 780-1126
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Ballard Cassady Smith
- 504 Skaggs Rd
- Morehead, KY
- Zip : 40351-8852
- Phone : (606) 780-1126
Second Address
- Dr. Ballard Cassady Smith
- 709 W Main St
- Morehead, KY
- Zip : 40351-1443
- Fax : (606) 784-4408
- Phone : (606) 784-8983
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8443 | KY |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 8443 | KY |
National Provider Identifier
| NPI | 1043434954 |
|---|---|
| Provider Name | Dr. Ballard Cassady Smith |
| First Address | Morehead, KY 40351-8852 |
| Second Address | Morehead, KY 40351-1443 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2007 |
| Last Update Date | 02/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000579124 | ANTHEM BCBS (01) | |
| 7100010590 | (05) | KY |
| 7100013150 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.