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BALLARD DENTAL GROUP
NPI 1740353408
Dentist - General Practice in Vicksburg, MS

Active since November 17, 2006
3040 INDIANA AVENUE, VICKSBURG, MS 39180(601) 634-6277(601) 634-0153 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ballard Dental Group NPPES

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

BALLARD DENTAL GROUP (NPI 1740353408) is a healthcare organization registered as a general practice in Vicksburg, Mississippi and active in the NPI registry since November 2006. The organization lists Paul E Ballard, Owner, as its authorized official.

NPPES Registry Identity

NPI1740353408
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBALLARD DENTAL GROUP
Location Address3040 INDIANA AVENUEVicksburg, MS 39180
Mailing Address3040 Indiana AvenueVicksburg, MS 39180 · (601) 634-6277 · Fax (601) 634-0153
Phone(601) 634-6277
Fax(601) 634-0153
Organization SubpartNo
Authorized OfficialPaul E BallardOwner · (601) 634-6277
Enumeration DateNovember 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1740353408 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 AVENUE, Vicksburg, MS 39180
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Ballard Dental Group's NPI number?

The NPI number for Ballard Dental Group is 1740353408. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Ballard Dental Group located?

Ballard Dental Group is located at 3040 Indiana Avenue, Vicksburg, MS 39180. The listed phone number is (601) 634-6277.

What is Ballard Dental Group'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 Ballard Dental Group was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.