Jason Randall Ballou, DDS

Dentist · Foothill Ranch, CA

Individual Active NPI

NPI number 1659461739

Practice location

27462 Portola Pkwy
Suite #205
Foothill Ranch, CA 92610-2815
Phone
(949) 830-2355
Fax
(949) 830-2352

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NPI record

NPI
1659461739
Entity type
Individual (Type 1)
Enumeration date
October 13, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 50568 CA

Mailing address

27462 Portola Parkway
Suite #205
Foothill Ranch, CA 92610
Phone
(949) 830-2355
Fax
(949) 830-2352

About Dr. Ballou

Jason Randall Ballou, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 27462 Portola Pkwy, Suite #205, Foothill Ranch, CA 92610-2815. The NPI number 1659461739 was assigned on October 13, 2006 and the record was last updated on July 8, 2007.

Dr. Ballou lists a license in the registry: #50568 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason Randall Ballou, DDS?

The NPI number is 1659461739.

What is the phone number of Dr. Ballou?

The phone number listed for the practice location is (949) 830-2355.

Where is Dr. Ballou located?

27462 Portola Pkwy, Suite #205, Foothill Ranch, CA 92610-2815.

What is the taxonomy code for Dr. Ballou?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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