Dr Daryl Duane Ballard, DDS | |
1051 Columbia Ave, Connell, WA 99326-8702 | |
(509) 488-5256 | |
(509) 488-9939 |
Full Name | Dr Daryl Duane Ballard |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1051 Columbia Ave, Connell, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932212727 | NPI | - | NPPES |
2095670 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 60196099 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Daryl Duane Ballard, DDS 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256 | Dr Daryl Duane Ballard, DDS 1051 Columbia Ave, Connell, WA 99326-8702 Ph: (509) 488-5256 |
Carol Stockhausen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1301 N Ephrata Ave, Connell, WA 99326 Phone: 509-543-5800 | |
Ahmed Bashir Raddad, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1051 Columbia Ave, Connell, WA 99326 Phone: 509-488-5256 Fax: 509-488-9939 | |
Dr. Cassidy Ryan Blount, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1301 N Ephrata Ave, Connell, WA 99326 Phone: 509-543-5800 | |
Timothy Michael Hall, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1301 N Ephrata Ave, Connell, WA 99326 Phone: 509-543-5978 |