Joseph David Ballenger in Nampa - Oral And Maxillofacial Surgery
Joseph David Ballenger - NPI 1598773749
Joseph David Ballenger is a Oral And Maxillofacial Surgery in Nampa, Idaho. Joseph David Ballenger practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Joseph David Ballenger is 1598773749. The last update date is 2008-02-25.
Joseph David Ballenger's current location address is 339 W Iowa Ave, Nampa, Idaho. You can contact this provider via phone number 2084671227 and fax number 2084671299. The mailing address for Joseph David Ballenger is 339 W Iowa Ave, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joseph David Ballenger |
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Address | 339 W Iowa Ave, Nampa, Idaho |
Phone Number | 2084671227 |
Fax Number | 2084671299 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1598773749 |
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Provider Enumeration Date | 2006-08-04 |
Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
Address | 339 W Iowa Ave |
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City | Nampa |
State | Idaho (ID) |
Post Code | 836862856 |
Phone Number | 2084671227 |
Fax Number | 2084671299 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | D20420S |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2664000 | ID | -- | |
2664100 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Joseph David Ballenger?
The Joseph David Ballenger has been issued the NPI (National Provider Identifier) 1598773749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Joseph David Ballenger's facilities are situated?
The facilities of Joseph David Ballenger are physically located at the following address: 339 W Iowa Ave, Nampa, ID, 836862856.
What is the Joseph David Ballenger's area of specialization and corresponding taxonomy classification?
The Joseph David Ballenger's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1598773749 to Joseph David Ballenger?
The Centers for Medicare & Medicaid Services assigned the 1598773749 to Joseph David Ballenger on 2006-08-04.
As of what date were the Joseph David Ballenger's details last updated?
The information pertaining to the Joseph David Ballenger, including its address, specialty, and other details, was most recently updated on 2008-02-25.