| Doctor Name: | DR. BALLARD CASSADY SMITH |
| NPI Number: | 1043434954 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.M.D. |
| License Number: | 8443 |
| Business Practice Address: | 709 W Main St Morehead, KY - 403511443 |
| Business Phone Number: | 6067848983 |
| Business Fax Number: | 6067844408 |
| Mailing Address: | 504 Skaggs Rd, MOREHEAD |
| State: | KY |
| Postal Code: | 403518852 |
| Phone Number: | 6067801126 |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 10/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | 8443 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |