| Sheldon A. Ballou, Dmd, Psc | |
|
203 S Dixie Hwy Cave City KY 42127-8866 | |
| (270) 773-3943 | |
| (270) 773-3944 |
| Full Name | Sheldon A. Ballou, Dmd, Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 S Dixie Hwy, Cave City, Kentucky |
| Authorized Official Name and Position | Sheldon Arch Ballou (PRESIDENT) |
| Authorized Official Contact | 2707733943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheldon A. Ballou, Dmd, Psc 203 S Dixie Hwy Cave City KY 42127-8866 Ph: (270) 773-3943 | Sheldon A. Ballou, Dmd, Psc 203 S Dixie Hwy Cave City KY 42127-8866 Ph: (270) 773-3943 |
| NPI Number | 1063564813 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063564813 | NPI | - | NPPES |
| 60064250 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6425 (Kentucky) | Primary |
Sheldon A. Ballou Dmd,p.s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Dixie Hwy, Cave City, KY 42127 Phone: 270-773-3943 Fax: 270-773-3944 |