Ballance, Letitia Lynn

Ballance, Letitia Lynn is an individual health care provider with primary practice located at 205 Waynesville Plz , Waynesville NC 28786-5765. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ballance, Letitia Lynn can be contacted via phone (828) 452-5656.

Contact Information

Primary practice address
205 Waynesville Plz Waynesville NC 28786-5765
Phone: (828) 452-5656
Fax: (828) 452-5680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6485 North Carolina

Profile Details

NPI number 1790892511
LBN Legal business name Ballance, Letitia Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Sep 20th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790892511 NPPES
Other 9005C BLUE CROSS BLUE SHIELD NC
MEDICAID 89-9005C BLUE CROSS BLUE SHIELD NC

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