Individual provider · Type 1 NPI

John George Ballouz, DDS

Dentist · Detroit, MI

NPI number 1609668128 Active

Practice location

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576

Fax (313) 494-6834

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901602663 (MI)

Dentist: 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1609668128

John George Ballouz, DDS's National Provider Identifier is 1609668128, issued on May 20, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Detroit, MI. The record was last updated on Jul 11, 2026.