NPI Search for Physicians and Health Care Providers
DR. RICHARD BLAKESLEE BALLARD D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1730275975
Individual Registrant:
DR. RICHARD BLAKESLEE BALLARD D.D.S.
Gender: M
Sole Proprietor
Location and contact information for practice:
716 SUPERIOR AVE GLADSTONE, MI 49837-1751 US
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
Registration Information:
NPI: 1730275975
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 1223G0001X | Dental Providers Dentist General Practice | MI | 2901008970 |
Legacy codes, insurance codes and state license numbers:
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