James Keith Ballard, DMD Valid NPI
Individual provider · General Practice Dentistry · Brookhaven, MS
- NPI
- 1003309311
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 4005-18 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-06-11
- Last updated
- 2018-06-11
Practice location
706 Brookway Blvd
Brookhaven, MS 39601-2640
(601) 823-3200