DR. MARY L BALLARD (NPI# 1528381357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528381357 |
| Entity Type | Individual |
| Full Name | DR. MARY L BALLARD |
| Credential | DDS |
| Practice Address |
2860 S Green Bay Rd Ste 104 Mount Pleasant WI 53406-4962 |
| Mailing Address |
1918 E Lafayette Pl Unit 1901 Milwaukee WI 53202-1591 |
| Practice Telephone | 2628337996 |
| Mailing Telephone | 7037724355 |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2014-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
7206-15 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548519093 | Mary C Ballard | Occupational Therapist | 179 Station Place, Suite 100, Hurricane, WV 25526 | 2012-08-30 |
| 1295039493 | Mary Elizabeth Ballard | Social Worker | 2898 Mahan Drive -, Suite 5, Tallahassee, FL 32308-5462 | 2011-01-02 |
| 1679526461 | Mary Upchurch Ballard | Social Worker | 1401 Park Avenue, Promise Place, New Bern, NC 28560 | 2006-05-19 |
| 1790298115 | Mary Michelle Ballard | Audiologist-Hearing Aid Fitter | 5020 E 68th St, Tulsa, OK 74136-3307 | 2017-11-07 |
| 1528137874 | Mary Elizabeth Ballard | Psychologist | 2001 Stonebrook Place, Kingsport, TN 37660 | 2006-11-08 |
| 1922040997 | Mary L Ballard | Internal Medicine | 3003 N 3rd St, Phoenix, AZ 85012-3031 | 2006-06-12 |
| Street Address |
2860 S GREEN BAY RD STE 104 |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-4962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073930459 | Paul Pamula | Dentist | 1925 S Green Bay Rd, Mount Pleasant, WI 53406-4654 | 2014-03-24 |
| 1205064318 | Charlotte Helene Marvil | Dentist | 664 Long Point Rd Unit B, Unit B, Mount Pleasant, SC 29464-8316 | 2009-06-26 |
| 1649318783 | Robert L Cooper | Dentist | 1003 N Jefferson Ave, Mount Pleasant, TX 75455-3261 | 2007-02-01 |
| 1427446913 | Donald E. Romsa, D.d.s., S.c. | Dentist | 5801 Washington Ave, 102, Mount Pleasant, WI 53406-4057 | 2015-01-06 |
| 1851796262 | Camp-mack Enterprises LLC | Dentist | 1003 N Jefferson Ave, Mount Pleasant, TX 75455-3261 | 2014-10-28 |
| 1013051374 | The Facial Surgery Center | Dentist | 220 Bessemer Rd, Suite 302, Mount Pleasant, PA 15666-9122 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720569783 | Greater Milwaukee Oral Surgery, L.L.C. | Dentist | 4811 S 76th St Ste 304, Greenfield, WI 53220-4350 | 2018-08-27 |
| 1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
| 1477065787 | Central Wisconsin Oral and Facial Surgery, LLC | Dentist | 438 Edison St, Antigo, WI 54409-1845 | 2017-10-26 |
| 1497266910 | Donald Ervin Linneman | Dentist | Center 4820 N Sherman Road, Winnebago Correction Center, Drug Abuse Correctional, Winnebago, WI 54985-0036 | 2017-10-24 |
| 1063869485 | Tyler Kalmuck | Dentist | 3637 Wilgus Ave, Sheboygan, WI 53081-3050 | 2016-05-16 |
| 1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
| 1326473927 | Lake Geneva Dental Care, LLC | Dentist | 1454 E Huebbe Pkwy, Beloit, WI 53511-1714 | 2013-09-13 |
| 1093154601 | Matthew D Reiland | Dentist | 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 | 2013-06-17 |
| 1922364363 | Ell Louis Lee | Dentist | 2361 Lost Dauphin Rd, De Pere, WI 54115-9165 | 2012-04-10 |
| 1003100470 | Eddie Kiyoshi Brotkowski | Dentist | 464 S Hickory St Ste A, Fond Du Lac, WI 54935-5531 | 2011-06-02 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.