Martina Ballast is a Dentist in New York, New York. Martina Ballast practices all healthcare services and medical treatments related to Dentist. The NPI Number for Martina Ballast is 1558481937. The last update date is 2007-07-08.
Martina Ballast's current location address is 563 W 184th St, New York, New York. You can contact this provider via phone number 2125433000 and fax number 2125439769. The mailing address for Martina Ballast is 563 W 184th St, New York, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martina Ballast |
|---|---|
| Address | 563 W 184th St, New York, New York |
| Phone Number | 2125433000 |
| Fax Number | 2125439769 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1558481937 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 563 W 184th St |
|---|---|
| City | New York |
| State | New York (NY) |
| Post Code | 100334128 |
| Phone Number | 2125433000 |
| Fax Number | 2125439769 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 46143 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1643787 | NY | -- |
Post Comment/ Review Below
What is the Martina Ballast's 1558481937?
The Martina Ballast's NPI (National Provider Identifier) Number is 1558481937. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Martina Ballast?
The Martina Ballast is situated at 563 W 184Th St, in the city of New York, state of NY, with the zip code 100334128.
What is the Martina Ballast's specialty and taxonomy code?
The Martina Ballast's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558481937 to Martina Ballast?
The Centers for Medicare & Medicaid Services assigned the 1558481937 to Martina Ballast on 2007-03-30.
When was the Martina Ballast's information last updated?
The Martina Ballast's information was last updated on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL