Eric Ballou is a Dentist in Boise, Idaho. Eric Ballou practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eric Ballou is 1952561003. The last update date is 2008-06-12.
Eric Ballou's current location address is 5355 W State St, Boise, Idaho. You can contact this provider via phone number 2088534687 and fax number 2088534690. The mailing address for Eric Ballou is 5355 W State St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Ballou |
|---|---|
| Address | 5355 W State St, Boise, Idaho |
| Phone Number | 2088534687 |
| Fax Number | 2088534690 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1952561003 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 5355 W State St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837033333 |
| Phone Number | 2088534687 |
| Fax Number | 2088534690 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D-4142 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Eric Ballou by the Centers for Medicare & Medicaid Services (CMS)?
The Eric Ballou has been assigned the NPI (National Provider Identifier) 1952561003. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Eric Ballou is physically located?
The Eric Ballou is physically situated at the following address: 5355 W State St, Boise, ID, 837033333.
What is Eric Ballou's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eric Ballou is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952561003 to Eric Ballou?
The Eric Ballou received its 1952561003 assignment from the Centers for Medicare & Medicaid Services on 2008-06-12.
When was the information pertaining to Eric Ballou most recently updated or revised?
The details related to Eric Ballou, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-12.
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