BALLPARK FAMILY DENTAL, PLLC – NPI #1558186932
Clinic/Center

BALLPARK FAMILY DENTAL, PLLC is an AHC clinic located in DUNDEE, MI. NPPES has assigned the NPI number 1558186932 to BALLPARK FAMILY DENTAL, PLLC on November 20, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BALLPARK FAMILY DENTAL, PLLC below.

NPI Profile for
BALLPARK FAMILY DENTAL, PLLC

NPI Number
1558186932
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BALLPARK FAMILY DENTAL, PLLC
Primary location
100 POWELL DR STE 5
DUNDEE, MI 48131-8645
Phone: (616) 334-5574 Fax:
Mailing address
713 RISDON TRL S
SALINE, MI 48176-2801
Phone: (616) 334-5574 Fax:
Organization Subpart
No
Authorized Official
CORY BALL
DENTIST
Phone: (616) 334-5574
Updated
Certification Date
Nov 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.