Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL E BALLWEG, D.D.S.
ActiveRANDALL E BALLWEG, D.D.S. is a General Dentistry healthcare provider located in PRAIRIE DU SAC, Wisconsin. NPI 1609855303 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PRAIRIE DU SAC, WI
Registration Details
- NPI Number
- 1609855303
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2006 (20.409026794881 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5002051-015 (WI)
Practice Information
- Address
-
1250 PRAIRIE STPRAIRIE DU SAC, WI, 535782041Browse WI providers · Browse ZIP 53578
- Phone
- 6086438505
- Fax
- 6086438097
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PRAIRIE DU SAC, WI
| Name | Credential | NPI |
|---|---|---|
| PAUL J GANSHERT | D.D.S. | 1124007729 |
| DR. MYLES DENNIS TETEAK | D.D.S. | 1023186129 |
| LAURA T SENGBUSCH | DDS | 1689986184 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.