Individual provider · Type 1 NPI
Tiffany Ballard, LDH
Dental Hygienist · Gary, IN
Practice location
3229 Broadway Ste 115
Gary, IN 46409-1040
Mailing address
2673 W 86th Ave
Merrillville, IN 46410-6948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 13007024A (IN) |
Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…
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About NPI 1861034076
Tiffany Ballard, LDH's National Provider Identifier is 1861034076, issued on Oct 9, 2019. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Gary, IN. The record was last updated on Oct 9, 2019.