| James Ian Ballou, Llc | |
|
2630 S Carrier Pkwy Suite A Grand Prairie TX 75052-5069 | |
| (972) 660-5522 | |
| (972) 660-5525 |
| Full Name | James Ian Ballou, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2630 S Carrier Pkwy, Grand Prairie, Texas |
| Authorized Official Name and Position | James Ian Ballou (ORTHODONTIST) |
| Authorized Official Contact | 9726729279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Ian Ballou, Llc 2630 S Carrier Pkwy Suite A Grand Prairie TX 75052-5069 Ph: (972) 660-5522 | James Ian Ballou, Llc 2630 S Carrier Pkwy Suite A Grand Prairie TX 75052-5069 Ph: (972) 660-5522 |
| NPI Number | 1407187479 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 05/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407187479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 25102 (Texas) | Primary |
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Kimberly M Parson Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2360 W Camp Wisdom Rd Ste 170, Grand Prairie, TX 75052 Phone: 469-340-4002 | |
Thad Taylor Iv Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 Phone: 972-647-8008 Fax: 972-660-8509 | |
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Brigitte E. Robinson, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2426 S Carrier Pkwy, Suite 100, Grand Prairie, TX 75051 Phone: 972-641-2994 Fax: 972-641-3063 |