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ELLEN VANDERGUST BALLARD DDS
NPI 1649452129
Dentist - General Practice in White Rock, NM

Active since November 27, 2007
111 LONGVIEW, SUITE B-3, WHITE ROCK, NM 87544(505) 672-2020(505) 672-2020 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Vandergust Ballard Dds NPPES

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

ELLEN VANDERGUST BALLARD DDS (NPI 1649452129) is an individual general practice provider in White Rock, New Mexico, licensed in New Mexico (1668) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1649452129
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameELLEN VANDERGUST BALLARDCredential: DDS
Location Address111 LONGVIEW, SUITE B-3White Rock, NM 87544
Mailing Address111 Longview, Suite B-3White Rock, NM 87544 · (505) 672-2020 · Fax (505) 672-2020
Phone(505) 672-2020
Fax(505) 672-2020
Sole ProprietorNo
Enumeration DateNovember 27, 2007
✔ NPI 1649452129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · 1668
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.
111 LONGVIEW, White Rock, NM 87544
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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 Ellen Ballard's NPI number?

The NPI number for Ellen Ballard is 1649452129. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Ellen Ballard located?

Ellen Ballard practices at 111 Longview Suite B-3, White Rock, NM 87544. The listed phone number is (505) 672-2020.

What is Ellen 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 Ellen Ballard was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.