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Ellen Vandergust Ballard, DDS
General Practice Dentistry in White Rock, New Mexico
NPI 1649452129

Ellen Vandergust Ballard is a General Practice Dentistry based in White Rock, NM and is specialized in General Practice. Ellen Vandergust Ballard practices in White Rock, NM and has the professional credentials of DDS. The NPI Number for Ellen Vandergust Ballard is 1649452129 and holds a License No. 1668 (New Mexico).

The current practice location address for Ellen Vandergust Ballard is 111 Longview, White Rock, NM and can be reached out via phone at 505-672-2020 and via fax at 505-672-2020.

Location: 111 Longview, White Rock, NM, 87544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649452129
Provider Name
Ellen Vandergust Ballard
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
111 Longview, White Rock, NM, 87544
Phone Number
505-672-2020
Fax Number
505-672-2020
Provider Enumeration Date
11/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Longview
City
White Rock
State
New Mexico
Zip
87544
Phone Number
505-672-2020
Fax Number
505-672-2020
person
Provider Business Mailing Address Details
Address
111 Longview
City
White Rock
State
New Mexico
Zip
87544
Phone Number
505-672-2020
Fax Number
505-672-2020
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1668 (New Mexico)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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