Fred L Ballou, Dmd, Psc is a Dental Clinic in Richmond, Kentucky. It is located at 311 Radio Park Dr, Ste B, Richmond, KY and its contact number is 859-623-3818. The authorized person for Fred L Ballou, Dmd, Psc is Dr. Fred L Ballou Jr.
who is President/owner of the clinic and their contact number is 859-623-3818. The primary license number for Fred L Ballou, Dmd, Psc is 3905 (General Practice) in Kentucky. Fred L Ballou, Dmd, Psc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Fred L Ballou, Dmd, Psc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fred L Ballou, Dmd, Psc
Specialization:
General Practice Dentistry
Clinic Address:
311 Radio Park Dr, Ste B, Richmond, Kentucky, 40475-2399
Phone:
859-623-3818
Fax:
859-624-1061
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Fred L Ballou Jr.
Position:
President/owner
Contact Number:
859-623-3818
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fred L Ballou, Dmd, Psc clinic are as mentioned below.
NPI Number:
1619972205
NPI Enumeration Date:
20 Jun, 2005
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fred L Ballou, Dmd, Psc are as mentioned below.
Specialization
License Number
State
Status
General Practice
3905
Kentucky
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
532067
Other
Kentucky
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fred L Ballou, Dmd, Psc 311 Radio Park Dr, Ste B Richmond, Kentucky
Zip:
40475-2399
Phone Number:
859-623-3818
Fax Number:
859-624-1061
Patients can reach Fred L Ballou, Dmd, Psc at 311 Radio Park Dr, Ste B, Richmond, Kentucky or can call to book an appointment on 859-623-3818. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.