Fred L Ballou, DMD, PSC
Fred L Ballou, DMD, PSC is a General Practice Dentistry in Richmond, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.
- Licensed in
- KY
- In the registry since
- 2005
What do these letters mean?
- PSC — Professional service corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
311 Radio Park Dr Ste BRichmond, KY 40475-2399
Phone: (859) 623-3818
Fax: (859) 624-1061
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 3905 (KY) |
|---|
Record details
| NPI number | 1619972205 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Fred Ballou — President/Owner · (859) 623-3818 |
| NPI enumerated | June 20, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 311 Radio Park Dr, Ste B, Richmond, KY 40475-2399 |
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