Ballas, Natalie Jackson

Ballas, Natalie Jackson is an individual health care provider with primary practice located at 300 N Holly Street , Canby OR 97013. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Ballas, Natalie Jackson can be contacted via phone (503) 266-1117.

Contact Information

Primary practice address
300 N Holly Street Canby OR 97013
Phone: (503) 266-1117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D9856 Oregon
Dental Providers / General Practice 1223G0001X 4010 West Virginia
Dental Providers / General Practice 1223G0001X 15200 Maryland

Profile Details

NPI number 1235488842
LBN Legal business name Ballas, Natalie Jackson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Jan 3rd, 2014 - about 11 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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