NPI 1629259205 · live from the CMS NPI Registry
John Walter Ballrick, D.D.S., M.S.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Westlake, OH. National Provider Identifier 1629259205, active.
NPI record
| NPI | 1629259205 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 28885 Center Ridge Rd Ste 203, Westlake, OH 44145 |
| Practice phone | 440-835-6113 |
| Enumerated | November 24, 2007 |
| Last updated | August 29, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 30.022156 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.