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Mr. Robert Lee Ballou, DMD
Dentist in Corbin, Kentucky
NPI 1891890679

Robert Lee Ballou is a Dentist based in Corbin, KY. Robert Lee Ballou practices in Corbin, KY and has the professional credentials of DMD. The NPI Number for Robert Lee Ballou is 1891890679 and holds a License No. 3989 (Kentucky).

The current practice location address for Robert Lee Ballou is 109 N Main St, Corbin, KY and can be reached out via phone at 606-528-2350 and via fax at 606-528-5507. You can also correspond with Robert Lee Ballou through the mailing address at 109 N MAIN ST, CORBIN, KY - 40701 (mailing address contact number: 606-528-2350).

Location: 109 N Main St, Corbin, KY, 40701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891890679
Provider Name
Robert Lee Ballou
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
109 N Main St, Corbin, KY, 40701
Phone Number
606-528-2350
Fax Number
606-528-5507
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60039898 05 KY
4240857 01 TN TENN CARE
institution
Provider Business Practice Location Address Details
Address
109 N Main St
City
Corbin
State
Kentucky
Zip
40701
Phone Number
606-528-2350
Fax Number
606-528-5507
person
Provider Business Mailing Address Details
Address
109 N Main St
City
Corbin
State
Kentucky
Zip
40701
Phone Number
606-528-2350
Fax Number
606-528-5507
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
3989 (Kentucky)
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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3989 (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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