Andrea Elisabeth Balla in Dearborn - Dentist

Andrea Elisabeth Balla - NPI 1528289527

Andrea Elisabeth Balla is a Dentist in Dearborn, Michigan. Andrea Elisabeth Balla practices all healthcare services and medical treatments related to Dentist. The NPI Number for Andrea Elisabeth Balla is 1528289527. The last update date is 2007-07-08.

Andrea Elisabeth Balla's current location address is 220 S Melborn St, Dearborn, Michigan. You can contact this provider via phone number 3135656080 and fax number 3135656080. The mailing address for Andrea Elisabeth Balla is 220 S Melborn St, Dearborn, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea Elisabeth Balla
Address 220 S Melborn St, Dearborn, Michigan
Phone Number 3135656080
Fax Number 3135656080
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1528289527
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 220 S Melborn St
City Dearborn
State Michigan (MI)
Post Code 48124
Phone Number 3135656080
Fax Number 3135656080

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2901014594
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1958214590 MI BLUE CROSS BLUE SHIELD

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FAQs about Andrea Elisabeth Balla

What is the unique 10-digit identifier code assigned to Andrea Elisabeth Balla by the Centers for Medicare & Medicaid Services?

The Andrea Elisabeth Balla has been issued the NPI (National Provider Identifier) 1528289527 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Andrea Elisabeth Balla is geographically located?

The Andrea Elisabeth Balla is physically situated at the following location: 220 S Melborn St, Dearborn, MI, 48124.

What is Andrea Elisabeth Balla's area of expertise and its corresponding taxonomy classification?

The Andrea Elisabeth Balla's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.

When did Andrea Elisabeth Balla receive its 1528289527 assignment?

The Andrea Elisabeth Balla was assigned its 1528289527 on 2007-05-01, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Andrea Elisabeth Balla last refreshed?

The information related to the Andrea Elisabeth Balla, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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