Ballenger, Blake

Ballenger, Blake is an individual health care provider with primary practice located at 300 E 128Th Ave , Thornton CO 80241-2427. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Ballenger, Blake can be contacted via phone (303) 451-6767.

Contact Information

Primary practice address
300 E 128Th Ave Thornton CO 80241-2427
Phone: (303) 451-6767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DEN.00204239 Colorado

Profile Details

NPI number 1861845539
LBN Legal business name Ballenger, Blake
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2016
Last updated Dec 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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