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DR. PAUL EDWARD BALLARD DMD
NPI 1285845024
Dentist - General Practice in Vicksburg, MS

Active since May 24, 2007
3040 INDIANA AVE, VICKSBURG, MS 39180(601) 634-6277(601) 634-0153 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Edward Ballard Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL EDWARD BALLARD DMD (NPI 1285845024) is an individual general practice provider in Vicksburg, Mississippi, licensed in Mississippi (2063-84) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1285845024
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PAUL EDWARD BALLARDCredential: DMD
Location Address3040 INDIANA AVEVicksburg, MS 39180-4355
Mailing Address3040 Indiana AveVicksburg, MS 39180-5415 · (601) 634-6277 · Fax (601) 634-0153
Phone(601) 634-6277
Fax(601) 634-0153
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285845024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 2063-84
Definition
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.
3040 INDIANA AVE, Vicksburg, MS 39180
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Other Identifiers 1

Medicaid00066273MS

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISTY L AUSTIN DMD
Dentist (General Practice)
3040 INDIANA AVE
VICKSBURG, MS 39180
Warren County (601) 634-6277
AUSTIN FAMILY DENTISTRY
Dentist (General Practice)
3040 INDIANA AVE
VICKSBURG, MS 39180
Warren County (601) 634-6277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Ballard's NPI number?

The NPI number for Paul Ballard is 1285845024. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Paul Ballard located?

Paul Ballard practices at 3040 Indiana Ave, Vicksburg, MS 39180. The listed phone number is (601) 634-6277.

What is Paul Ballard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Paul Ballard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.