Robert Lee Ballou is a Dentist in Corbin, Kentucky. Robert Lee Ballou practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Lee Ballou is 1891890679. The last update date is 2008-03-10.
Robert Lee Ballou's current location address is 109 N Main St, Corbin, Kentucky. You can contact this provider via phone number 6065282350 and fax number 6065285507. The mailing address for Robert Lee Ballou is 109 N Main St, Corbin, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Lee Ballou |
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Address | 109 N Main St, Corbin, Kentucky |
Phone Number | 6065282350 |
Fax Number | 6065285507 |
Sole Proprietor | Y |
Credentials | DMD |
NPI Number Detail
NPI Number | 1891890679 |
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Provider Enumeration Date | 2006-09-14 |
Last Updated Date | 2008-03-10 |
Provider Mailing Address Detail
Address | 109 N Main St |
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City | Corbin |
State | Kentucky (KY) |
Post Code | 40701 |
Phone Number | 6065282350 |
Fax Number | 6065285507 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 3989 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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60039898 | KY | -- | |
4240857 | TN | TENN CARE |
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What is the unique 10-digit identification code issued to Robert Lee Ballou by the Centers for Medicare & Medicaid Services?
The Robert Lee Ballou has been assigned the NPI (National Provider Identifier) 1891890679 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Robert Lee Ballou's facilities are geographically located?
The facilities of Robert Lee Ballou are physically situated at the following location: 109 N Main St, Corbin, KY, 40701.
What is the Robert Lee Ballou's area of specialization and corresponding taxonomy classification?
The Robert Lee Ballou's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891890679 to Robert Lee Ballou?
The Centers for Medicare & Medicaid Services originally issued the 1891890679 to Robert Lee Ballou on 2006-09-14.
As of what date were the details related to Robert Lee Ballou most recently updated or revised?
The information pertaining to Robert Lee Ballou, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-10.