# BALLARD FAMILY DENTISTRY IN BURLESON

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

## Provider details

- **NPI number:** 1679104657
- **Authorized official:** MS. KELLI TIPPETT (INSURANCE COORDINATOR)
- **Authorized official phone:** (817) 367-6453

## Contact information

- **Practice address:** 2701 SW WILSHIRE BLVD, BURLESON, TX 76028
- **Practice address phone:** (817) 295-2031
- **Practice address fax:** (817) 426-2624
- **Mailing address:** 2701 SW WILSHIRE BLVD, BURLESON, TX 76028
- **Mailing address phone:** (817) 295-2031
- **Mailing address fax:** (817) 426-2624

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 07/10/2020