Ballard, Mary L

Ballard, Mary L is an individual health care provider with primary practice located at 2860 S Green Bay Rd Ste 104 , Mount Pleasant WI 53406-4962. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Ballard, Mary L can be contacted via phone (262) 833-7996.

Contact Information

Primary practice address
2860 S Green Bay Rd Ste 104 Mount Pleasant WI 53406-4962
Phone: (262) 833-7996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7206-15 Wisconsin

Profile Details

NPI number 1528381357
LBN Legal business name Ballard, Mary L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2010
Last updated Jun 9th, 2014 - about 10 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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