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ELLEN BALLARD DDS
NPI 1629290283
Dentist in Los Alamos, NM

Active since May 03, 2007
111 LONGVIEW DRIVE, SUITE B3, LOS ALAMOS, NM 87544(505) 672-2020(505) 672-2020 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellen Ballard Dds NPPES

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

ELLEN BALLARD DDS (NPI 1629290283) is a healthcare organization registered as a dentist in Los Alamos, New Mexico and active in the NPI registry since May 2007. The organization lists Ellen Vandergust Ballard, President Wildwind Dental, as its authorized official.

NPPES Registry Identity

NPI1629290283
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWILDWIND DENTAL
Location Address111 LONGVIEW DRIVE, SUITE B3Los Alamos, NM 87544
Mailing Address203 Rio BravoLos Alamos, NM 87544 · (505) 920-1065
Phone(505) 672-2020
Fax(505) 672-2020
Organization SubpartNo
Authorized OfficialEllen Vandergust BallardPresident Wildwind Dental · (505) 672-2020
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629290283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · 1668
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
111 LONGVIEW DRIVE, Los Alamos, NM 87544
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Other Names 1

Doing Business AsEllen Ballard Dds

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Wildwind Dental's NPI number?

The NPI number for Wildwind Dental is 1629290283. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Ellen Ballard Dds.

Where is Wildwind Dental located?

Wildwind Dental is located at 111 Longview Drive Suite B3, Los Alamos, NM 87544. The listed phone number is (505) 672-2020.

What is Wildwind Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Wildwind Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.