JOSEPH D BALLENGER JR.

Dr JOSEPH D BALLENGER JR. is a male medical professional, specializing in Oral Surgery. He graduated in 1990 from University Of Kentucky College Of Dentistry.

Contact

339 W IOWA AVE
NAMPA
ID
836862856

Tel:

JOSEPH D BALLENGER JR. Information

Npi 1598773749
Pac Id 2062673478
Professional Enrollment Id I20120411000803
Last Name BALLENGER
First Name JOSEPH
Middle Name D
Suffix JR.
Gender M
Credential
Medical School Name UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
Graduation Year 1990
Primary Specialty ORAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 339 W IOWA AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NAMPA
State ID
Zip Code 836862856
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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