Organization · Type 2 NPI

Fred L Ballou, Dmd, PSC

General Practice Dentistry · Richmond, KY

NPI number 1619972205 Active

Practice location

311 Radio Park Dr, Ste B
Richmond, KY 40475-2399

Call (859) 623-3818 Map

Fax (859) 624-1061

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3905 (KY)

General Practice Dentistry: 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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About NPI 1619972205

Fred L Ballou, Dmd, PSC's National Provider Identifier is 1619972205, issued on Jun 20, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Richmond, KY. The record was last updated on Aug 22, 2020.