Kenneth J Smith DDS PSC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

KENNETH J SMITH DDS PSC

Practice address

709 W Main St
Morehead, KY 40351-1443

Phone

(606) 784-8983

Fax

(606) 784-4408

NPI assigned

Oct 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth J Smith Jr., DDSNPI 1487611406

Title

President

Phone

(606) 784-8983

Specialties & licenses 2

Addresses

Other identifiers 4

Tax ID family

Kenneth J Smith DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kenneth J Smith DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Maysville, KY
  • NPI 1457411415
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth J Smith, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Morehead, KY
  • NPI 1487611406

  Dentist

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164502522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SKAGGS RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403518852",
            "telephone_number": "606-784-7679",
            "fax_number": "606-784-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511443",
            "telephone_number": "606-784-8983",
            "fax_number": "606-784-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J SMITH DDS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-784-8983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61941233",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64043003",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60043007",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65911950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Allan Keller, DO
• Jeremy Steven Keller, D.O.
• Jordan Kelley, ATC
• Marc Kelly, LCSW
• Sherrie Lee Keltner, PMHNP-BC
• Kenney Orthopedics of Morehead, LLC
• Kentucky Eye Institute for Eye Health & Surgery
• Kentucky Institute for Eye Health & Surgery
• Kentucky Institute for Eye Health & Surgery
• Kentucky Medical Services Foundation

• Oral & Maxillofacial Surgery (D.M.D.) in Morehead, KY
• Providers in Morehead, KY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.