DR. Richard Blakeslee Ballard, D.D.S.

NPI #1730275975 in Gladstone, Michigan

Provider Information

NPI Number: 1730275975
Entity Type: Individual
Name: DR. Richard Blakeslee Ballard, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 5, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 716 SUPERIOR AVE
City: Gladstone
State: Michigan
ZIP Code: 49837-1751
Phone: (906) 428-2321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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