Organization
JAMES W BALLARD, DDS
Active
Other names
Feliciana Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WILTON BALLARD DDS (PRES. OF CORPORATION)
(225) 635-4707
Entity
Organization
Contact information
Practice address
7181 US HWY. 61, SUITE 10, SAINT FRANCISVILLE, LA 70775
(225) 635-4707
(225) 635-2172
Mailing address
PO BOX 1068, SAINT FRANCISVILLE, LA 70775-1068
(225) 635-4707
(225) 635-2172
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2786
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1827860
—
LA
Enumeration date
03/02/2007
Last updated
01/23/2014
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