E. Lee Balentine in Maupin - General Practice

E. Lee Balentine - NPI 1154316362

E. Lee Balentine is a General Practice in Maupin, Oregon. E. Lee Balentine practices all healthcare services and medical treatments related to General Practice. The NPI Number for E. Lee Balentine is 1154316362. The last update date is 2007-07-08.

E. Lee Balentine's current location address is Po Box 147, Maupin, Oregon. You can contact this provider via phone number 5413952636. The mailing address for E. Lee Balentine is Po Box 147, Maupin, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name E. Lee Balentine
Address Po Box 147, Maupin, Oregon
Phone Number 5413952636
Fax Number
Sole Proprietor X
Credentials DMD

NPI Number Detail

NPI Number 1154316362
Provider Enumeration Date 2005-09-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 147
City Maupin
State Oregon (OR)
Post Code 970370147
Phone Number 5413952636
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D5022
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
220483 OR OREGON HEALTH PLAN

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FAQs about E. Lee Balentine

What is the unique 10-digit identification code assigned to E. Lee Balentine by the Centers for Medicare & Medicaid Services?

The E. Lee Balentine has been issued the NPI (National Provider Identifier) 1154316362, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of E. Lee Balentine?

The E. Lee Balentine is situated at Po Box 147, in the city of Maupin, state of OR, with the zip code 970370147.

What is the E. Lee Balentine's area of specialization and corresponding taxonomy classification?

The E. Lee Balentine's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the E. Lee Balentine receive the assignment of its 1154316362 from the Centers for Medicare & Medicaid Services?

The E. Lee Balentine was issued its 1154316362 by the Centers for Medicare & Medicaid Services on 2005-09-14.

When was the E. Lee Balentine's information last updated?

The E. Lee Balentine's information was last updated on 2007-07-08.

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