# ROBIN C BALLARD DDS PC

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

## Provider details

- **NPI number:** 1548397904
- **Authorized official:** DR. ROBIN C BALLARD DDS (DENTIST)
- **Authorized official phone:** (810) 639-2079

## Contact information

- **Practice address:** 226 W STATE ST, MONTROSE, MI 48457
- **Practice address phone:** (810) 639-2079
- **Practice address fax:** (810) 639-6893
- **Mailing address:** BOX 3026, 226 W STATE ST, MONTROSE, MI 48457
- **Mailing address phone:** (810) 639-2079
- **Mailing address fax:** (810) 639-6893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 013123 | MI | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 08/22/2020
