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NPI 1861034076

IndividualActive

Tiffany Ballard, LDH

NPI 1861034076 · Dental Hygienist · Gary, IN

Provider details

NPI number: 1861034076
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Credential: LDH
Sex: Female
Sole proprietor: No
License: 13007024A (IN)

Practice location

3229 Broadway Ste 115

Gary, IN 46409-1040

Phone: (219) 806-3000

More IN providers

Mailing address

2673 W 86th Ave

Merrillville, IN 46410-6948

Registry dates

Enumerated: 2019-10-09
Last updated: 2019-10-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Tiffany Ballard, LDH — NPI 1861034076, Gary, IN | NPI Central