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Ballard Dental Group
General Practice Dentistry in Vicksburg, Mississippi
NPI 1740353408

Ballard Dental Group is a General Practice Dentistry based in Vicksburg, MS and is specialized in General Practice. Ballard Dental Group practices in Vicksburg, MS. The NPI Number for Ballard Dental Group is 1740353408 and holds a License No. 2063-84 (Mississippi).

The current practice location address for Ballard Dental Group is 3040 Indiana Avenue, Vicksburg, MS and can be reached out via phone at 601-634-6277 and via fax at 601-634-0153.

Location: 3040 Indiana Avenue, Vicksburg, MS, 39180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740353408
Provider Name
Ballard Dental Group
Credential
Provider Entity Type
Organization
Address
3040 Indiana Avenue, Vicksburg, MS, 39180
Phone Number
601-634-6277
Fax Number
601-634-0153
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3040 Indiana Avenue
City
Vicksburg
State
Mississippi
Zip
39180
Phone Number
601-634-6277
Fax Number
601-634-0153
person
Provider Business Mailing Address Details
Address
3040 Indiana Avenue
City
Vicksburg
State
Mississippi
Zip
39180
Phone Number
601-634-6277
Fax Number
601-634-0153
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2063-84 (Mississippi)
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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