Ballard, Jeffery B
Ballard, Jeffery B is an individual health care provider with primary practice located at 707 Whitlock Avenue Suite C 25, Marietta GA 30064. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ballard, Jeffery B can be contacted via phone (770) 422-7727.Contact Information
Primary practice address
707 Whitlock Avenue Suite C 25
Marietta GA 30064
Phone: (770) 422-7727
Fax: (770) 427-8009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN011847 | Georgia |
Profile Details
| NPI number | 1679630206 |
|---|---|
| LBN Legal business name | Ballard, Jeffery B |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679630206 | NPPES |
| Georgia | Other | 982949 | UNITED CONCORDIA |
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