Most Relevant Information
Provider Data
| NPI Number: | 1003061276 |
| Provider Name: | FREDERICK VERNON BALLARD D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 22DI02447500 |
Most Important Dates
| Enumeration Date: | 12/01/2008 |
| Last Updated: | 12/07/2016 |
Provider Practice Location
501 WHITE HORSE PIKE
WEST COLLINGSWOOD
NJ
081071729
Practice Location Phone/Fax
| Phone: | 8568541509 |
| Fax: |
Provider Mailing Location
501 WHITE HORSE PIKE
WEST COLLINGSWOOD
NJ
081071729
Provider Mailing Phone/Fax
| Phone: | 8568541509 |
| Fax: |