Provider Demographics
NPI:1982808671
Name:MORGAN, BALLARD F JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:BALLARD
Middle Name:F
Last Name:MORGAN
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 NEWTOWN PIKE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-1251
Mailing Address - Country:US
Mailing Address - Phone:859-233-7700
Mailing Address - Fax:859-255-0079
Practice Address - Street 1:1510 NEWTOWN PIKE
Practice Address - Street 2:SUITE 201
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-1251
Practice Address - Country:US
Practice Address - Phone:859-233-7700
Practice Address - Fax:859-255-0079
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice