Provider Type Icon

ELLEN VANDERGUST BALLARD DDS NPI 1649452129


NPI Information

NPI: 1649452129
Provider Name: ELLEN VANDERGUST BALLARD, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
111 LONGVIEW
SUITE B-3
WHITE ROCK, NM
ZIP 87544
Phone: (505) 672-2020
Get Directions

Ellen Vandergust Ballard, DDS is a general practice dentist in White Rock, NM. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Ellen Vandergust Ballard, DDS NPI is 1649452129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 LONGVIEW
SUITE B-3
WHITE ROCK, NM
ZIP 87544
Phone: (505) 672-2020
Fax: (505) 672-2020

The enumeration date for this NPI number is 11/27/2007 and was last updated on 11/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice1668NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.