Bobby Steven Smith, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8271 Issued in KY

Practice address

16 Windburn Dr
Barbourville, KY 40906-7843

Phone

(606) 546-8217

Fax

(606) 545-7261

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1356483440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WINDBURN DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067843",
            "telephone_number": "606-546-8217",
            "fax_number": "606-545-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WINDBURN DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067843",
            "telephone_number": "606-546-8217",
            "fax_number": "606-545-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BOBBY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60003589",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sleep Diagnostics of Kentucky, Inc
• Jennifer Lynn Slusser
• Smith Family Pharmacy Inc
• A J Smith Jr., D.M.D.
• April Nichole Smith, RN
• Cory Michael Smith, PHARMD
• Debra Leann Smith, CSW
• Edwin Earl Smith, DMD
• Kellie Smith, APRN
• Macy Grace Smith

• General Practice Dentistry in Barbourville, KY
• Providers in Barbourville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.