Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952561003 Individual Practitioner Male Practitioner

Dr. Eric Ballou , DDS

Dentist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Eric Ballou, DDS is a registered healthcare professional specializing in Dentist in Boise, ID. Practice services are available at 5355 W STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5355 W State St

Boise, ID 837033333

Telephone 2088534687
Fax 2088534690
Associated Practice Facility / Clinic
🏢 Lake Harbor Dental Facility NPI 1639310089

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
108 Specialists

Practicing in Boise, ID (448 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-12
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D-4142

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Stephen White , DDS

Dentist - General Practice

NPI 1326066721

Doctor of Dental Surgery

NPI 1942472691

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2008

Registered at 5355 W STATE ST, BOISE, ID 837033333 (Tel: 2088534687)

📍
Updated Business Mailing Address June 12, 2008

Registered at 5355 W STATE ST, BOISE, ID 837033333 (Tel: 2088534687)

👤
Provider Name / Credentials Updated June 12, 2008

Recorded as ERIC BALLOU, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2008

Dentist (License #D-4142 in ID)

🟢
Initial NPI Registration & Enumeration June 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952561003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2008
Last Update: February 12, 2024
Sole Proprietor: Yes

Mailing Address

5355 W State St

Boise, ID 837033333

Phone: 2088534687

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.