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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.