Ballentine, Mark Robert

Ballentine, Mark Robert is an individual health care provider with primary practice located at 9815 Reeck Rd , Allen Park MI 48101-1356. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ballentine, Mark Robert can be contacted via phone (313) 383-8960.

Contact Information

Primary practice address
9815 Reeck Rd Allen Park MI 48101-1356
Phone: (313) 383-8960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12983 Michigan

Profile Details

NPI number 1740309715
LBN Legal business name Ballentine, Mark Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 19 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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