DR. MARK ROBERT BALLENTINE (NPI# 1740309715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740309715 |
| Entity Type | Individual |
| Full Name | DR. MARK ROBERT BALLENTINE |
| Credential | D.D.S. |
| Practice Address |
9815 Reeck Rd Allen Park MI 48101-1356 |
| Practice Telephone | 3133838960 |
| Mailing Telephone | 3133838960 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12983 | MI | Dental Providers |
| Street Address |
9815 REECK RD |
| City | ALLEN PARK |
| State | MI |
| Zip Code | 48101-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982687844 | Richard W. Strong,d.d.s.,p.c. | Dentist | 9815 Reeck Rd, Allen Park, MI 48101-1356 | 2005-11-23 |
| 1316304827 | Ryan Gibson | Dentist | 9815 Reeck Rd, Allen Park, MI 48101-1356 | 2016-01-28 |
| 1811123011 | Kelly Lyn Bradshaw | Dentist | 9815 Reeck Rd, Allen Park, MI 48101-1356 | 2009-06-02 |
| 1578708087 | Mark R Ballentine Dds,pllc | Dentist | 9815 Reeck Rd, Allen Park, MI 48101-1356 | 2008-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184126633 | Monica Yalamanchili | Physical Therapist | 7445 Regina Ave, Allen Park, MI 48101 | 2018-03-01 |
| 1669928685 | Saad Khizar Usmani | Dentist | 6760 Allen Road, Suite 101, Allen Park, MI 48101 | 2016-08-30 |
| 1265778385 | Rx Discount Pharmacy | Pharmacy | 6811 Allen Rd, Allen Park, MI 48101 | 2012-12-18 |
| 1841540333 | Semaj Amia Dunson | Counselor | 4485 Willow Cove Blvd, Apt-a2, Allen Park, MI 48101 | 2012-09-12 |
| 1356678866 | Stephanie A Rea | Family Medicine | 8338 Allen Road, Suite 101, Allen Park, MI 48101 | 2009-11-05 |
| 1811133952 | John A. Newell | Family Medicine | 14839 Markese, Allen Park, MI 48101 | 2008-12-19 |
| 1497924203 | Kimberly Ann Polchlopek | Massage Therapist | 7740 Allen Rd, Allek Park, MI 48101 | 2008-02-26 |
| 1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
| 1316164098 | Early Solutions Clinic, LLC | Clinic/Center | 3555 Fairland Blvd., Allen Park, MI 48101 | 2007-04-20 |
| 1730201427 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3565 Fairlane Dr., Allen Park, MI 48101 | 2007-04-04 |
| Find all providers in zip 48101 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760698351 | Daniel J Hatch | Dentist | 17007 Ecorse Rd, Allen Park, MI 48101-2451 | 2007-05-14 |
| 1942333539 | Bruce Rosenblum | Dentist | 10501 Allen Rd, Ste 105, Allen Park, MI 48101-1281 | 2007-03-13 |
| 1073609004 | Allen Park Dental Care | Dentist | 5329 Allen Rd, Allen Park, MI 48101-2923 | 2006-10-05 |
| 1194776856 | Paul Miles Tally | Dentist | 5300 Allen Rd, Allen Park, MI 48101-2924 | 2006-05-15 |
| 1114992336 | Dr. Stacey Lee, Dds, PC | Dentist | 10551 Allen Rd, Suite 107, Allen Park, MI 48101-3305 | 2006-02-21 |
| 1396715702 | Dcp of Michigan (lincoln Park), P.c | Dentist | 3201 Fairlane Drive, Allen Park, MI 48101 | 2006-01-26 |
| 1528048345 | Brian Keith Van Netta | Dentist | 6705 Park Ave, Allen Park, MI 48101 | 2006-01-18 |
| 1982687844 | Richard W. Strong,d.d.s.,p.c. | Dentist | 9815 Reeck Rd, Allen Park, MI 48101-1356 | 2005-11-23 |
| 1134123409 | Robert C Dell | Dentist | 19003 Ecorse Rd, Allen Park, MI 48101-2257 | 2005-06-02 |
| 1467066613 | Allen Park Dentistry | Dentist | 8400 Allen Rd, Allen Park, MI 48101-1430 | 2020-09-04 |
| Find all providers in ALLEN PARK | ||||
| City | ALLEN PARK |
| Zip Code | 48101 |
Please comment or provide details below to improve the information on DR. MARK ROBERT BALLENTINE.
| 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.