Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1699770917 Deactivated / Inactive NPI Male Practitioner

Dr. Fred L Ballou , DMD

Dentist - General Practice • Richmond, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fred Ballou has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2005
NPI Deactivation Date January 21, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Fred Ballou, DMD was a registered Dentist - General Practice practicing in Richmond, KY. Throughout an active medical career spanning 16 years, Dr. Ballou provided care at the practice location at 311 RADIO PARK DR until profile deactivation on 2021-01-21.

Practice Location & Contact Primary Location

Practice Address

311 Radio Park Dr
Ste B

Richmond, KY 404752399

Telephone 8596233818
Fax 8596241061
Associated Practice Facility / Clinic
🏢 Fred L Ballou, Dmd, Psc Facility NPI 1619972205

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Richmond, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Richmond, KY (1699 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 3905

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Kristen Foley , DMD

Dentist - General Practice

NPI 1407204324

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 21, 2021

Record deactivated on January 21, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 311 RADIO PARK DR, STE B, RICHMOND, KY 404752399 (Tel: 8596233818)

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Updated Business Mailing Address July 08, 2007

Registered at 311 RADIO PARK DR, STE B, RICHMOND, KY 404752399 (Tel: 8596233818)

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Provider Name / Credentials Updated July 08, 2007

Recorded as FRED BALLOU, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3905 in KY)

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Initial NPI Registration & Enumeration June 14, 2005

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: 1699770917
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2005
Last Update: July 08, 2007
Deactivation Date: January 21, 2021

Mailing Address

311 Radio Park Dr, Ste B

Richmond, KY 404752399

Phone: 8596233818

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.