Sheldon a. Ballou DMD,P.S.C.
Organization Active NPI General Practice Dentistry · Cave City, KY
NPI 1487829636 · NPPES record last updated Apr 29, 2008
Key facts
- NPI
- 1487829636
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6425 (KY)
- Legal business name
- SHELDON A. BALLOU DMD,P.S.C.
- Practice address
- 203 S Dixie Hwy
Cave City, KY 42127-8866 - Phone
- (270) 773-3943
- Fax
- (270) 773-3944
- NPI assigned
- Apr 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Sheldon A. Ballou, DMD
- Title
- President
- Phone
- (270) 773-3943
Corporate family (same tax ID) 1
Practitioners 2
-
Sheldon A Ballou, DMD
-
Jason Ryan Coomer, DMD
National Provider Directory
- Tax ID family
- Sheldon a Ballou DMD PSC
Locations
203 S Dixie Hwy
Cave City, KY 42127
Phone (270) 773-3943
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 6425 | KY | Yes |
Addresses
Primary practice location
203 S Dixie Hwy
Cave City, KY 42127-8866
Mailing address
203 S Dixie Hwy
Cave City, KY 42127-8866
Phone (270) 773-3943
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45003779 | Medicaid | KY |
Other providers in Cave City, KY
- Phoenix Project LLC
- Kelly Michelle Ratliff
- Chandra Mohan Reddy
- Richard P Ribeyre
- Roger Todd Williams MD PSC
- Sheldon a. Ballou, DMD, PSC
- Spectrum Care Academy, Inc.
- Michaela Stephens
- Christopher Dale Steward
- April Lee Stone
All providers in Cave City, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.