BALLO DDS PC (NPI# 1174135149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174135149 |
Entity Type | Organization |
Organization Name | BALLO DDS PC |
Practice Address |
23105 Van Dyke Ave Warren MI 48089-1622 |
Practice Telephone | 5867595353 |
Mailing Telephone | 5867595353 |
Enumeration Date | 2020-08-20 |
Last Update Date | 2020-08-20 |
Authorized Official Name | DR. NASEM BALLO (DOCTOR/OWNER) |
Authorized Official Telephone | 5867595353 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SUPERTEETH DENTAL CARE | Doing Business As Name - Organization |
Street Address |
23105 VAN DYKE AVE |
City | WARREN |
State | MI |
Zip Code | 48089-1622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841491248 | Hanley L. Kaiser Dds PC | Dentist | 23105 Van Dyke Ave, Warren, MI 48089-1622 | 2007-05-31 |
1770967028 | Calvin C Brown Jr Dds Pllc | Dentist | 23105 Van Dyke Ave, Warren, MI 48089-1622 | 2015-07-16 |
1386829059 | Kaiser Dental PC | Dentist | 23105 Van Dyke Ave, Warren, MI 48089-1622 | 2007-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
Find all providers in zip 48089 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295200236 | Rem Dds Pllc | Clinic/Center | 12415 E 12 Mile Rd Ste 2, Warren, MI 48093-3586 | 2018-10-05 |
1598274896 | Deluxe Dental Group LLC | Clinic/Center | 161 Washington Valley Rd Ste 202, Warren, NJ 07059-7177 | 2017-09-29 |
1699015339 | Professional Periodontics | Clinic/Center | 30101 Hoover Rd Ste A, Warren, MI 48093-6572 | 2013-02-17 |
1649870767 | Z & W Pllc | Clinic/Center | 32837 Hayes Rd, Warren, MI 48088-7367 | 2020-10-28 |
1396393864 | El-awadi Dds, Pllc | Clinic/Center | 26000 Hoover Rd Ste 102, Warren, MI 48089-1167 | 2019-08-28 |
1578967881 | Hoover Family Dental Pllc | Clinic/Center | 26000 Hoover Rd, Suite # 102, Warren, MI 48089 | 2014-10-15 |
1891944294 | Jonathan B. Vane Dmd, P.C.. | Clinic/Center | 38 State St, Warren, RI 02885-3128 | 2008-09-10 |
1841462843 | Kenneth D. Lapolla, D.d.s,, Inc | Clinic/Center | 8588 E Market St, Warren, OH 44484-2339 | 2008-03-31 |
1982800066 | Steven E. Watts Dds Inc | Clinic/Center | 542 Niles Cortland Rd Se, Warren, OH 44484-2474 | 2007-06-25 |
1962615153 | Redwood Dental Group | Clinic/Center | 13403 E 13 Mile Rd, Redwood Dental Group, Warren, MI 48088-3188 | 2007-05-07 |
Find all providers in WARREN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.