Ball, Michael

Ball, Michael is an sole proprietor health care provider with primary practice located at 134 El Chico Trl Ste 101 , Willow Park TX 76087-8862. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Ball, Michael can be contacted via phone (817) 995-3195.

Contact Information

Primary practice address
134 El Chico Trl Ste 101 Willow Park TX 76087-8862
Phone: (817) 995-3195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 34548 Texas

Profile Details

NPI number 1699209742
LBN Legal business name Ball, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2017
Last updated Sep 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699209742 NPPES
Texas MEDICAID 399388301

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