Search › West Virginia › 122300000X
Shawn Ballard, DDS
NPI 1891280426 · on the registry since 2018 · sole proprietor
Practice
- Address
- 127 Prosperity Ln
Logan, WV 25601 - Phone
- (304) 752-4801
- Organisation at this address
- Jeffrey S. Mccoy Susan Fowler Goodwin D.D.S. Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-26
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 West Virginia