# BALLARD FAMILY DENTISTRY IN BENBROOK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508523861
- **Authorized official:** DAVID M BALLARD (DOCTOR)
- **Authorized official phone:** (817) 900-6030

## Contact information

- **Practice address:** 111 SPROLES DR., BENBROOK, TX 76126
- **Practice address phone:** (817) 900-6030
- **Practice address fax:** (817) 900-6035
- **Mailing address:** PO BOX 26797, BENBROOK, TX 76126
- **Mailing address phone:** (817) 900-6030
- **Mailing address fax:** (817) 900-6035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2021
- **Last updated:** 11/22/2021