Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ballard Dental Group

Organization General Practice Dentistry · NPI 1740353408

Ballard Dental Group is a General Practice Dentistry in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

3040 Indiana Ave
Vicksburg, MS 39180
Phone: (601) 634-6277
Fax: (601) 634-0153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2063-84 (MS)

Record details

NPI number1740353408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Ballard — Owner · (601) 634-6277
NPI enumeratedNovember 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3040 Indiana Avenue, Vicksburg, MS 39180

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