Robert Lee Ballou, DMD

General Practice Dentistry · Corbin, KY

Individual Active NPI

NPI number 1891890679

Practice location

109 N Main St
Corbin, KY 40701
Phone
(606) 528-2350
Fax
(606) 528-5507

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NPI record

NPI
1891890679
Entity type
Individual (Type 1)
Enumeration date
September 14, 2006
Last updated
March 10, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3989 KY
Dentist 122300000X 3989 KY

About Dr. Ballou

Robert Lee Ballou, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 109 N Main St, Corbin, KY 40701. The NPI number 1891890679 was assigned on September 14, 2006 and the record was last updated on March 10, 2008.

Dr. Ballou lists 2 licenses in the registry: #3989 (KY) for General Practice Dentistry; #3989 (KY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Lee Ballou, DMD?

The NPI number is 1891890679.

What is the phone number of Dr. Ballou?

The phone number listed for the practice location is (606) 528-2350.

Where is Dr. Ballou located?

109 N Main St, Corbin, KY 40701.

What is the taxonomy code for Dr. Ballou?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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