Individual
DR. CRAIG E BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9595 WHITLEY DR, INDIANAPOLIS, IN 46240-1311
(317) 846-3463
Mailing address
9595 WHITLEY DR, INDIANAPOLIS, IN 46240-1311
(317) 846-3463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011835B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P243867
CIGNA
IN
Enumeration date
08/14/2012
Last updated
08/14/2012
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