institution
Fred L Ballou, Dmd, Psc
General Practice Dentistry in Richmond, Kentucky
NPI 1619972205

Fred L Ballou, Dmd, Psc is a General Practice Dentistry based in Richmond, KY and is specialized in General Practice. Fred L Ballou, Dmd, Psc practices in Richmond, KY. The NPI Number for Fred L Ballou, Dmd, Psc is 1619972205 and holds a License No. 3905 (Kentucky).

The current practice location address for Fred L Ballou, Dmd, Psc is 311 Radio Park Dr, Richmond, KY and can be reached out via phone at 859-623-3818 and via fax at 859-624-1061.

Location: 311 Radio Park Dr, Richmond, KY, 40475-2399
institution
Provider Profile Details
NPI Number
1619972205
Provider Name
Fred L Ballou, Dmd, Psc
Credential
Provider Entity Type
Organization
Address
311 Radio Park Dr, Richmond, KY, 40475-2399
Phone Number
859-623-3818
Fax Number
859-624-1061
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
532067 01 KY UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
311 Radio Park Dr
City
State
Zip
40475-2399
Phone Number
859-623-3818
Fax Number
859-624-1061
person
Provider Business Mailing Address Details
Address
311 Radio Park Dr
City
State
Zip
40475-2399
Phone Number
859-623-3818
Fax Number
859-624-1061
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
3905 (Kentucky)
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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