Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON RANDALL BALLOU, DDS
Active Sole ProprietorDR. JASON RANDALL BALLOU, DDS is a Dentist healthcare provider located in FOOTHILL RANCH, California. NPI 1659461739 is currently active in the NPPES registry. Verify at CMS.
Dentist · FOOTHILL RANCH, CA
Registration Details
- NPI Number
- 1659461739
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2006 (19.833037363719 yrs)
- Last Updated
- Jul 8, 2007
- License
-
50568 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27462 PORTOLA PKWYSUITE #205FOOTHILL RANCH, CA, 926102815Browse CA providers · Browse ZIP 92610
- Phone
- 9498302355
- Fax
- 9498302352
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FOOTHILL RANCH, CA
| Name | Credential | NPI |
|---|---|---|
| ABBAS RAJABI | DDS | 1205934346 |
| DR. HUY DANG | DDS | 1699855593 |
| DR. VU QUANG LE | D.D.S. | 1912082470 |
| DR. ARIA IRVANI | DDS | 1578626719 |
| DR. KATHRYN MARIE LE | DDS | 1447405600 |
| DR. PETER H. LEOU | — | 1265721112 |
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.