Individual provider · Type 1 NPI
Ellen Vandergust Ballard, DDS
General Practice Dentistry · White Rock, NM
NPI number
1649452129
Active
Practice location
111 Longview, Suite B-3
White Rock, NM 87544
Fax (505) 672-2020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 1668 (NM) |
General Practice Dentistry: 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.
Other general practice dentistry providers in White Rock
About NPI 1649452129
Ellen Vandergust Ballard, DDS's National Provider Identifier is 1649452129, issued on Nov 27, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in White Rock, NM. The record was last updated on Nov 27, 2007.