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DR. MICHAEL JOHN BALLARD DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1972660884
Individual Registrant:DR. MICHAEL JOHN BALLARD DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
716 SUPERIOR AVE GLADSTONE, MI 49837-1751 US
Tel: 906-428-2321 Fax: 906-428-9499
Tel: 906-428-2321 Fax: 906-428-9499
Contact information for business:
716 SUPERIOR AVE. GLADSTONE, MI 49837-1751 US
Tel: 906-428-2321 Fax: 906-428-9499
Tel: 906-428-2321 Fax: 906-428-9499
Registration Information:
NPI: 1972660884
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | MI | 015311 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
