Fred L Ballou, Dmd, Psc in Richmond - General Practice
Fred L Ballou, Dmd, Psc - NPI 1619972205
Fred L Ballou, Dmd, Psc is a General Practice in Richmond, Kentucky. Fred L Ballou, Dmd, Psc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Fred L Ballou, Dmd, Psc is 1619972205. The last update date is 2020-08-22.
Fred L Ballou, Dmd, Psc's current location address is 311 Radio Park Dr, Richmond, Kentucky. You can contact this provider via phone number 8596233818 and fax number 8596241061. The mailing address for Fred L Ballou, Dmd, Psc is 311 Radio Park Dr, Richmond, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fred L Ballou, Dmd, Psc |
|---|---|
| Address | 311 Radio Park Dr, Richmond, Kentucky |
| Phone Number | 8596233818 |
| Fax Number | 8596241061 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Ballou L Fred |
| Credentials | DMD |
| Telephone Number | 8596233818 |
NPI Number Detail
| NPI Number | 1619972205 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 311 Radio Park Dr |
|---|---|
| City | Richmond |
| State | Kentucky (KY) |
| Post Code | 4047523990 |
| Phone Number | 8596233818 |
| Fax Number | 8596241061 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3905 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 532067 | KY | UNITED CONCORDIA |
Post Comment/ Review Below
What is the Fred L Ballou, Dmd, Psc's 1619972205?
The Fred L Ballou, Dmd, Psc's NPI (National Provider Identifier) Number is 1619972205. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Fred L Ballou, Dmd, Psc is geographically located?
The Fred L Ballou, Dmd, Psc is physically situated at the following location: 311 Radio Park Dr, Richmond, KY, 4047523990.
What is the Fred L Ballou, Dmd, Psc's specialty and taxonomy code?
The Fred L Ballou, Dmd, Psc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619972205 to Fred L Ballou, Dmd, Psc?
The Centers for Medicare & Medicaid Services originally issued the 1619972205 to Fred L Ballou, Dmd, Psc on 2005-06-20.
When was the Fred L Ballou, Dmd, Psc's information last updated?
The Fred L Ballou, Dmd, Psc's information was last updated on 2020-08-22.
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