| Ellen Ballard Dds | |
|
111 Longview Drive Suite B3 Los Alamos NM 87544 | |
| (505) 672-2020 | |
| (505) 672-2020 |
| Full Name | Ellen Ballard Dds |
|---|---|
| Speciality | Dentist |
| Location | 111 Longview Drive, Los Alamos, New Mexico |
| Authorized Official Name and Position | Ellen Vandergust Ballard (PRESIDENT WILDWIND DENTAL) |
| Authorized Official Contact | 5056722020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Ballard Dds 203 Rio Bravo Los Alamos NM 87544 Ph: (505) 920-1065 | Ellen Ballard Dds 111 Longview Drive Suite B3 Los Alamos NM 87544 Ph: (505) 672-2020 |
| NPI Number | 1629290283 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629290283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1668 (New Mexico) | Primary |
Dkn Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2610 Trinity Dr Ste 3, Los Alamos, NM 87544 Phone: 505-662-5666 | |
Alpine Laser Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3491 Trinity Dr, Los Alamos, NM 87544 Phone: 505-662-4503 | |
Ortiz & Moss Dental Associates, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Trinity Dr Ste P, Los Alamos, NM 87544 Phone: 505-662-2426 | |
High Mesa Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106a Longview Drive, Los Alamos, NM 87544 Phone: 505-672-1336 Fax: 505-672-0840 | |
Rio Grande Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3250 Trinity Dr Ste A, Los Alamos, NM 87544 Phone: 505-662-4555 | |
Kids Dental Partners, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 Trinity Dr Ste 305, Los Alamos, NM 87544 Phone: 505-661-9060 |