Provider Demographics
NPI:1154554442
Name:BALL, JAMES SANDLIN (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SANDLIN
Last Name:BALL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1443 DEVONASH LN
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5525
Mailing Address - Country:US
Mailing Address - Phone:713-876-5238
Mailing Address - Fax:
Practice Address - Street 1:2090 DUNWOODY CLUB DR STE 105
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30350-5406
Practice Address - Country:US
Practice Address - Phone:770-998-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX286821223E0200X
TN9026122300000X
GADN0161411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist