IndividualActive
Andre Ballard, D.D.S.
NPI 1477993756 · Pediatric Dentistry · Gainesville, GA
Provider details
- NPI number
- 1477993756
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- DN014841 (GA)
Specialties & taxonomies
Dental Providers
Practice location
885 Dawsonville Hwy Ste 1130
Gainesville, GA 30501-2641
Phone: (678) 696-8878
Fax: (678) 696-8879
Approximate (ZIP-level) locationGet directions
Mailing address
885 Dawsonville Hwy Ste 1130
Gainesville, GA 30501-2641
Registry dates
- Enumerated
- 2013-07-01
- Last updated
- 2023-03-20
- Certified
- 2023-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.