MOHANAD BALLANI (NPI# 1053635458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053635458 |
| Entity Type | Individual |
| Full Name | MOHANAD BALLANI |
| Practice Address |
G3538 Miller Rd Ste A Flint MI 48507-1271 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 8104240400 |
| Mailing Telephone | 3154546000 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901020063 | MI | Dental Providers |
| Street Address |
G3538 MILLER RD STE A |
| City | FLINT |
| State | MI |
| Zip Code | 48507-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194176537 | Thomas Lin Hsieh | Dentist | G3538 Miller Rd, Ste A, Flint, MI 48507-1271 | 2016-06-27 |
| 1992180194 | Purna Nandan Shah | Dentist | G3538 Miller Rd, Suite A, Flint, MI 48507-1271 | 2015-07-29 |
| 1225466352 | Plev, PC | Dentist | G3538 Miller Rd, Flint, MI 48507-1271 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| 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 |
|---|---|---|---|---|
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1790264299 | Miles of Smiles Dentistry | Dentist | 5621 Leslie Ct, Flint, MI 48504-7017 | 2018-08-07 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1962952770 | Deluxe Dental | Dentist | 3617 Corunna Rd, Flint, MI 48532-3830 | 2016-10-05 |
| 1376941773 | Deluxe Dental Associates Pllc | Dentist | 3760 S Dort Hwy, Flint, MI 48507 | 2014-12-17 |
| 1982978086 | Dr. Robert A. Davis | Dentist | 2710 W Court St Ste 6, Flint, MI 48503-3061 | 2012-03-07 |
| 1730407602 | Traci Jill Dantzler | Dentist | 4170 Lennon Rd Ste A, Flint, MI 48507-1083 | 2010-05-17 |
| 1457510513 | Yang Luen Shih | Dentist | 932 S Center Rd, Flint, MI 48503-4511 | 2008-06-04 |
| 1407021991 | Mildred Jean Tinker | Dentist | G-4256 S. Linden Rd., Flint, MI 48507-2908 | 2008-04-25 |
| 1043480254 | Advance Dental Care, P.C. | Dentist | 3710 Davison Rd, Flint, MI 48506-4206 | 2008-03-04 |
| Find all providers in FLINT | ||||
Please comment or provide details below to improve the information on MOHANAD BALLANI.
| 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.