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Organization
STEVE BALL DDS PC
Active
Organization
STEVE BALL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEVEN BALL DDS (PRESIDENT)
(276) 889-5141
Entity
Organization
Contact information
Practice address
138 HIGHLAND DRIVE, LEBANON, VA 24266
(276) 889-5141
(276) 889-0770
Mailing address
PO BOX 2518, LEBANON, VA 24266-2518
(276) 889-5141
(276) 889-0770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401-005953
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8660
PROVIDER NUMBER
VA
05
—
9178536
—
VA
Enumeration date
01/23/2007
Last updated
07/21/2009
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