Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Graydon L. Ballard III, DMD

Individual provider General Practice Dentistry · NPI 1124139548

Dr. Graydon L. Ballard III, DMD is a General Practice Dentistry in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

168 N Meramec Ave Ste 102
Saint Louis, MO 63105-3758
Phone: (314) 727-4900
Fax: (314) 727-9888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 014416 (MO)

Record details

NPI number1124139548
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESOctober 30, 2007

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