Blake Ballenger, DDS

NPI #1861845539 in Thornton, Colorado

Provider Information

NPI Number: 1861845539
Entity Type: Individual
Name: Blake Ballenger, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS
Enumeration Date: Jul 19, 2016
Last Updated: Dec 14, 2020

Practice Location

Address: 300 E 128TH AVE
City: Thornton
State: Colorado
ZIP Code: 80241-2427
Phone: (303) 451-6767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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