Dee G. Smith, DMD
Individual provider Active NPI General Practice Dentistry · Fern Creek, KY
NPI 1245444595 · NPPES record last updated Apr 3, 2009
Key facts
- NPI
- 1245444595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8375 (KY)
- Practice address
- 5912 Bardstown Rd
Fern Creek, KY 40291-1957 - Phone
- (502) 239-0881
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8375 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fern Creek Dental, PLLC | General Practice | Past | Accepting new patients |
| Calisu 3, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8375 | KY | Yes |
Addresses
Primary practice location
5912 Bardstown Rd
Fern Creek, KY 40291-1957
Mailing address
261 Pine Ridge Dr
Brandenburg, KY 40108-9133
Phone (270) 422-4715
Other providers in Fern Creek, KY
All providers in Fern Creek, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.