Ballard Dental Group

LBN: Ballard Dental Group
Ballard Dental Group is an health care organization with primary practice located at 3040 Indiana Avenue , Vicksburg MS 39180. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ballard Dental Group can be contacted via phone (601) 634-6277, or through Ballard, Paul E via phone (601) 634-6277.

Contact Information

Primary practice address
3040 Indiana Avenue Vicksburg MS 39180
Phone: (601) 634-6277
Fax: (601) 634-0153
Website:
Map and Directions
Authorized official contact:
Name: Ballard, Paul E Doctor of Dental Medicine (DMD)
Phone: (601) 634-6277

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2063-84 Mississippi

Profile Details

NPI number 1740353408
LBN Legal business name Ballard Dental Group
DBA Doing business as
Authorized official Ballard, Paul E Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers