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NPI Code Detail

MEDICARE: DR. ROBERT BALLARD D.D.S.

MEDICARE:  DR. ROBERT  BALLARD  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist12537TX

General Provider Information

NPI Number : 1003071739
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT BALLARD D.D.S.
Provider Business Mailing Address
First Line : 7309 SPURGEON CT
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6108
Country : US
Telephone Number : 817-832-0303
Fax Number :
Provider Business Practice Location Address
First Line : 7309 SPURGEON CT
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6108
Country : US
Telephone Number : 817-832-0303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2008
Last Update Date : 07/22/2008

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Directions to “ DR. ROBERT BALLARD D.D.S.” Practice Location

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