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Contact Information

SHAWN E BALLARD, DDS
127 PROSPERITY LN
LOGAN, WV25601-3488
 Phone: 304-752-4801
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for SHAWN E BALLARD · (Male)

NPI # 1891280426
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/26/2018
Last updated 06/26/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 4344
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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