DR. RENEE BALTHAZAR


Address: 243 E Indian Trail, Aurora, IL 60505
Phone: 6308598353

DR. RENEE BALTHAZAR (NPI# 1891857009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891857009
Entity Type Individual
Full Name DR. RENEE BALTHAZAR
Credential DDS MS
Practice Address 243 E Indian Trail
Aurora
IL 60505
Practice Telephone 6308598353
Practice Fax Number 6308962670
Mailing Telephone 6308598353
Enumeration Date 2006-12-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
IL Dental Providers

Office Location

Street Address 243 E INDIAN TRAIL
City AURORA
State IL
Zip Code 60505

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538705330 Johnathan Dunn Counselor 140 S. Lincoln Ave., Aurora, IL 60505 2019-11-27
1720638224 Latanya Rush Technician 1664 Briarheath Dr, Aurora, IL 60505 2019-09-17
1285282103 Susan Burroway Technician 815 Pearl St., Aurora, IL 60505 2019-09-04
1629624499 Jean Amanda Nalwoga Counselor 1305 E New Indian Trail, Aurora, IL 60505 2019-08-16
1760987515 Eric Raul Simental Preventive Medicine 1014 Claim St, Aurora, IL 60505 2018-03-26
1518408426 Oluwole Michael Olubajo Nurse's Aide 716 Mountain Street, Apt#2e, Aurora, IL 60505 2017-03-10
1881017960 Anthony Maranto Counselor 1305 E. Indian Trail Ct., Aurora, IL 60505 2014-01-27
1891121141 Smithhealthcare Properties Assisted Living Facility 105 E Galena Bvld #3, Aurora, IL 60505 2013-09-18
1003253865 Laura A Romero Speech-Language Pathologist 1770 Daisy St, Aurora, IL 60505 2013-06-03
1972878197 Donald C. Kellner Dds-aurora PC Dentist 143 South Lincoln Ave, Suite A, Aurora, IL 60505 2012-03-21
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891109765 Chaitanya Prakash Puranik Dentist 13123 E 16th Ave Stop B240, Aurora, CO 80045 2014-06-18
1275781791 Kristin M Christiansen Dentist 25521 E Smoky Hill Rd Unit 210, Aurora, CO 80016-1346 2008-09-09
1376702787 Ticket To Smiles PC Dentist 12373 E Cornell Ave # 16, Aurora, CO 80014-3323 2008-06-02
1043375629 Joanna M. Douglass Dentist 13123 E 16th Ave # B-240, Aurora, CO 80045-7106 2006-12-26
1528168713 Karen Diane Foster Dentist 22986 E Smoky Hill Rd, Aurora, CO 80016-1382 2006-09-25
1801906672 Jennifer Bryk Hechko Dentist 85 N Chillicothe Rd, Aurora, OH 44202-8739 2006-08-30
1922113794 Roopa P Gandhi Dentist 13123 E 16th Ave # B240, Aurora, CO 80045-7106 2006-08-20
1639122997 Ricardo Gonzalez Dentist 1780 N Farnsworth Ave, Aurora, IL 60505-1576 2006-05-18
1407831647 Erin Lee Watts Carpenter Dentist 25521 East Smoky Hill Rd., Suite 210, Aurora, CO 80016 2005-12-09
1053319269 Lucinda Ann Lewis Dentist 390 S Potomac Way, Aurora, CO 80012-2491 2005-07-12
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Competitor

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City AURORA
Zip Code 60505

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Dataset Information

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.

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