FRED L BALLOU, DMD, PSC
NPI 1619972205
Dentist - General Practice in Richmond, KY

Q: What is Fred L Ballou, Dmd, Psc's NPI number?

The NPI number for Fred L Ballou, Dmd, Psc is 1619972205. It was assigned to this organization in the NPPES registry on June 20, 2005.

Q: What is Fred L Ballou, Dmd, Psc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since June 20, 2005

311 RADIO PARK DR, STE B, RICHMOND, KY 40475(859) 623-3818(859) 624-1061 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fred L Ballou, Dmd, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED L BALLOU, DMD, PSC (NPI 1619972205) is a healthcare organization registered as a general practice in Richmond, Kentucky and active in the NPI registry since June 2005. The organization lists Fred L Ballou, President/owner, as its authorized official.

NPPES Registry Identity

NPI1619972205

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameFRED L BALLOU, DMD, PSC

Location Address311 RADIO PARK DR, STE BRichmond, KY 40475-2399

Mailing Address311 Radio Park Dr, Ste BRichmond, KY 40475-2399 · (859) 623-3818 · Fax (859) 624-1061

Phone(859) 623-3818

Fax(859) 624-1061

Organization SubpartNo

Authorized OfficialFred L BallouPresident/owner · (859) 623-3818

Enumeration DateJune 20, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1619972205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · 3905

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.

311 RADIO PARK DR, Richmond, KY 40475

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Other Identifiers 1

Other532067KY · United Concordia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred L Ballou, Dmd, Psc's NPI number?

The NPI number for Fred L Ballou, Dmd, Psc is 1619972205. It was assigned to this organization in the NPPES registry on June 20, 2005.

Where is Fred L Ballou, Dmd, Psc located?

Fred L Ballou, Dmd, Psc is located at 311 Radio Park Dr Ste B, Richmond, KY 40475. The listed phone number is (859) 623-3818.

What is Fred L Ballou, Dmd, Psc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fred L Ballou, Dmd, Psc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.