Randall E Ballweg, D.D.S.
Dentist, General Practice in Prairie Du Sac, WI. Individual provider (NPI-1).
NPI number1609855303
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1609855303
- Entity type
- Individual (NPI-1)
- Name
- Randall E Ballweg
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5002051-015 | WI | Yes |
Practice location
1250 Prairie StPrairie Du Sac, WI 53578-2041
Phone 608-643-8505 · Fax 608-643-8097
Mailing address
1250 Prairie StPrairie Du Sac, WI 53578-2041
Phone 608-643-8505 · Fax 608-643-8097
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All 8 General Practice Dentistry providers in Prairie Du Sac · All 193 providers in Prairie Du Sac
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