Individual
JAMES BROOK BALLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
25 KAREN DR, PORTLAND, CT 06480-1016
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
04867
NH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
12867
CT
Other
Enumeration date
04/21/2020
Last updated
02/02/2026
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