| Organization Name: | JAMES W BALLARD, DDS |
| NPI Number: | 1699803296 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES WILTON BALLARD (PRES. OF CORPORATION) |
| Mailing Address: | 7181 Us Hwy. 61 Suite 10 Saint Francisville |
| State: | LA US |
| Postal Code: | 70775 |
| Phone Number: | 2256354707 |
| Fax Number: | 2256352172 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 01/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 2786 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |