Individual
DR. RAYMOND CLYDE BALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
4358 BRIDGES ST, MOREHEAD CITY, NC 28557-0166
(252) 726-1137
(252) 247-3181
Mailing address
4358 BRIDGES ST, MOREHEAD CITY, NC 28557-0166
(252) 726-1137
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3888
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990382
—
NC
01
—
90382
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
09/11/2006
Last updated
12/31/2020
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