Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN VANDERGUST BALLARD, DDS
ActiveELLEN VANDERGUST BALLARD, DDS is a General Dentistry healthcare provider located in WHITE ROCK, New Mexico. NPI 1649452129 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WHITE ROCK, NM
Registration Details
- NPI Number
- 1649452129
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 27, 2007 (18.68594289931 yrs)
- Last Updated
- Nov 27, 2007
- License
-
1668 (NM)
Practice Information
- Address
-
111 LONGVIEWSUITE B-3WHITE ROCK, NM, 87544Browse NM providers · Browse ZIP 87544
- Phone
- 5056722020
- Fax
- 5056722020
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WHITE ROCK, NM
| Name | Credential | NPI |
|---|---|---|
| DR. HOWARD HASSELL PACK | DMD | 1518195676 |
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.