Individual
DR. NATALIE JACKSON BALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
528 WASHINGTON RD, MT LEBANON, PA 15228-2817
(412) 343-5422
Mailing address
528 WASHINGTON RD, MT LEBANON, PA 15228-2817
(412) 343-5422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9856
OR
1223G0001X
General Practice Dentistry
15200
MD
1223G0001X
General Practice Dentistry
4010
WV
1223G0001X
General Practice Dentistry
Primary
DS045301
PA
Other
Enumeration date
08/29/2012
Last updated
07/25/2025
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