Individual provider · Type 1 NPI

Graydon L. Ballard Iii, DMD

General Practice Dentistry · St. Louis, MO

NPI number 1124139548 Active

About NPI 1124139548

Graydon L. Ballard Iii, DMD's National Provider Identifier is 1124139548, issued on Aug 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Louis, MO. The record was last updated on Oct 30, 2007.