Individual
DR. MARK STEVEN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
126 REDBUD HIGHWAY, HONAKER, VA 24260
(276) 873-4003
(276) 873-5968
Mailing address
PO BOX 1347, HONAKER, VA 24260-1347
(276) 873-4003
(276) 873-5968
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005953
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8660
PROVIDER NUMBER
VA
05
—
9178536
—
VA
Enumeration date
12/12/2006
Last updated
07/09/2007
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