Organization · Type 2 NPI
Joseph D Ballenger Jr, Dds, PA
Oral and Maxillofacial Surgery (Dentist) · Fruitland, ID
NPI number
1497858203
Active
Practice location
211 N Whitley Dr, Suite 3
Fruitland, ID 83619-2704
Fax (208) 452-4816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D-2042-05 (ID) |
Oral and Maxillofacial Surgery (Dentist): 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.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Fruitland
About NPI 1497858203
Joseph D Ballenger Jr, Dds, PA's National Provider Identifier is 1497858203, issued on Sep 7, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fruitland, ID. The record was last updated on Aug 22, 2020.