Individual
DR. SHELDON A BALLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
203 S DIXIE HWY, CAVE CITY, KY 42127
(270) 773-3943
(270) 773-3944
Mailing address
203 S DIXIE HWY, CAVE CITY, KY 42127
(270) 773-3943
(270) 773-3944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6425
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61901096
—
KY
Enumeration date
09/14/2006
Last updated
10/21/2011
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