Sheldon A. Ballou, Dmd, Psc

LBN: Sheldon A. Ballou, Dmd, Psc
Sheldon A. Ballou, Dmd, Psc is an health care organization with primary practice located at 203 S Dixie Hwy , Cave City KY 42127-8866. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Sheldon A. Ballou, Dmd, Psc can be contacted via phone (270) 773-3943, or through Ballou, Sheldon Arch via phone (270) 773-3943.

Contact Information

Primary practice address
203 S Dixie Hwy Cave City KY 42127-8866
Fax: (270) 773-3944
Website:
Authorized official contact:
Name: Ballou, Sheldon Arch Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6425 Kentucky

Profile Details

NPI number 1063564813
LBN Legal business name Sheldon A. Ballou, Dmd, Psc
DBA Doing business as
Authorized official Ballou, Sheldon Arch Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated May 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063564813 NPPES
Kentucky MEDICAID 60064250

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