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Richard Ballard, DDS

NPI 1578662375 · on the registry since 2006 · sole proprietor

Practice

Address
1221 Michigan St
Sandpoint, ID 83864
Phone
(208) 263-4122
Fax
(208) 263-2082
Clinicians at this address
4

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho