DR. MARK WILLIAM BALENSEIFEN (NPI# 1366500142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366500142 |
| Entity Type | Individual |
| Full Name | DR. MARK WILLIAM BALENSEIFEN |
| Credential | D.D.S. |
| Practice Address |
7509 Nw 23rd St Bethany OK 73008-4941 |
| Practice Telephone | 4054957399 |
| Mailing Telephone | 4054957399 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
5210 | OK | Dental Providers |
| Street Address |
7509 NW 23RD ST |
| City | BETHANY |
| State | OK |
| Zip Code | 73008-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
| 1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
| 1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
| 1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
| 1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
| 1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
| 1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
| 1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
| 1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
| 1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
| Find all providers in zip 73008 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218143 | Niranjan Joshi | Dentist | 1201 N Stonewall Ave Ste 494, Oklahoma City, OK 73117-1214 | 2019-07-31 |
| 1811103229 | Bryce C. Dorrough | Dentist | 8301 S Walker Ave, Oklahoma City, OK 73139-9419 | 2007-05-15 |
| 1669693347 | Daniel Edward Bates | Dentist | 652 Hamilton Rd., Usa Dental Activity, Fort Sill, OK 73503 | 2007-05-01 |
| 1275750184 | Roman Michael Lobodiak | Dentist | 3232 E 31st St, Tulsa, OK 74105-2442 | 2007-04-20 |
| 1750406237 | James Robert Reneau | Dentist | 2751 Nw Expressway St, Suite 5, Oklahoma City, OK 73112-7084 | 2007-03-21 |
| 1932199486 | Ernest L Dabreo | Dentist | 72d Medical Group, 1094 Air Depot Blvd, Tinker Afb, OK 73130 | 2005-10-26 |
| 1568862357 | Yacoub Al Sakka | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2014-08-28 |
| 1124441530 | Eswar Keran C Damodara | Dentist | 1201 N Stonewall Ave, Rm# 535a, Oklahoma City, OK 73117-1214 | 2014-01-22 |
| 1154659308 | John D. Mose | Dentist | 2909 Azalea Park Dr, Muskogee, OK 74401-2283 | 2009-11-30 |
| 1821228214 | Implant & Prosthodontic Associates, Pllc | Dentist | 4517 Memorial Cir, Oklahoma City, OK 73142-5006 | 2009-07-20 |
| Find all providers with the same taxonomy | ||||
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| 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.