James Logan Ballard, DDS
Dentist, General Practice in La Porte, IN. Individual provider (NPI-1).
NPI number1831259019
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1831259019
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Logan Ballard
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6916 | IN | Yes |
Practice location
1702 A StreetLa Porte, IN 46350-5925
Phone 219-362-8980
Mailing address
1702 A StreetLa Porte, IN 46350-5925
Phone 219-362-8980
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All 12 General Practice Dentistry providers in La Porte · All 592 providers in La Porte
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