Ellen Vandergust Ballard in White Rock - General Practice
Ellen Vandergust Ballard - NPI 1649452129
Ellen Vandergust Ballard is a General Practice in White Rock, New Mexico. Ellen Vandergust Ballard practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ellen Vandergust Ballard is 1649452129. The last update date is 2007-11-27.
Ellen Vandergust Ballard's current location address is 111 Longview, White Rock, New Mexico. You can contact this provider via phone number 5056722020 and fax number 5056722020. The mailing address for Ellen Vandergust Ballard is 111 Longview, White Rock, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Vandergust Ballard |
|---|---|
| Address | 111 Longview, White Rock, New Mexico |
| Phone Number | 5056722020 |
| Fax Number | 5056722020 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1649452129 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 111 Longview |
|---|---|
| City | White Rock |
| State | New Mexico (NM) |
| Post Code | 87544 |
| Phone Number | 5056722020 |
| Fax Number | 5056722020 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1668 |
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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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What is the unique 10-digit identification code issued to Ellen Vandergust Ballard by the Centers for Medicare & Medicaid Services?
The Ellen Vandergust Ballard has been assigned the NPI (National Provider Identifier) 1649452129 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Ellen Vandergust Ballard is physically located?
The Ellen Vandergust Ballard is physically situated at the following address: 111 Longview, White Rock, NM, 87544.
What is Ellen Vandergust Ballard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ellen Vandergust Ballard's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When was the Ellen Vandergust Ballard's 1649452129 issued?
The Ellen Vandergust Ballard's 1649452129 was issued on 2007-11-27.
When was the information related to Ellen Vandergust Ballard most recently updated or refreshed?
The details pertaining to the Ellen Vandergust Ballard, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-27.