Jordan J Balvich is a Dentist in Rensselaer, Indiana. Jordan J Balvich practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jordan J Balvich is 1336364025. The last update date is 2007-07-08.
Jordan J Balvich's current location address is Po Box 27, Rensselaer, Indiana. You can contact this provider via phone number 2198668110 and fax number 2198668332. The mailing address for Jordan J Balvich is Po Box 27, Rensselaer, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan J Balvich |
|---|---|
| Address | Po Box 27, Rensselaer, Indiana |
| Phone Number | 2198668110 |
| Fax Number | 2198668332 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1336364025 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 27 |
|---|---|
| City | Rensselaer |
| State | Indiana (IN) |
| Post Code | 479780027 |
| Phone Number | 2198668110 |
| Fax Number | 2198668332 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12009450A |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Jordan J Balvich's 1336364025?
The Jordan J Balvich's NPI (National Provider Identifier) Number is 1336364025. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jordan J Balvich's facilities are situated?
The facilities of Jordan J Balvich are physically located at the following address: Po Box 27, Rensselaer, IN, 479780027.
What is Jordan J Balvich's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jordan J Balvich is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Jordan J Balvich receive its 1336364025 assignment from the Centers for Medicare & Medicaid Services?
The Jordan J Balvich was assigned its 1336364025 by the Centers for Medicare & Medicaid Services on 2007-04-16.
When was the Jordan J Balvich's information last updated?
The Jordan J Balvich's information was last updated on 2007-07-08.
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