Smith, Ballard Cassady
Smith, Ballard Cassady is an sole proprietor health care provider with primary practice located at 709 W Main St , Morehead KY 40351-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Smith, Ballard Cassady can be contacted via phone (606) 784-8983.Contact Information
Primary practice address
709 W Main St
Morehead KY 40351-1443
Phone: (606) 784-8983
Fax: (606) 784-4408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 8443 | Kentucky |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 8443 | Kentucky |
Profile Details
| NPI number | 1043434954 |
|---|---|
| LBN Legal business name | Smith, Ballard Cassady |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Mar 26th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043434954 | NPPES |
| Other | 000000579124 | ANTHEM BCBS | |
| MEDICAID | 7100010590 | ANTHEM BCBS | |
| MEDICAID | 7100013150 | ANTHEM BCBS |
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