JOHN W BALABAN (NPI# 1992887392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992887392 |
| Entity Type | Individual |
| Full Name | JOHN W BALABAN |
| Credential | DDS |
| Practice Address |
Route 103, Supply St Gary WV 24836 |
| Mailing Address |
Po Box 108 Greensboro PA 15338-0108 |
| Practice Telephone | 3044482101 |
| Practice Fax Number | 3044483217 |
| Mailing Telephone | 7249433412 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1793 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 4001085000 | 05 |
| Street Address |
ROUTE 103, SUPPLY ST |
| City | GARY |
| State | WV |
| Zip Code | 24836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725292 | Tracey L Lester | Family Medicine | 103 Supply Street, Gary, WV 24836 | 2019-11-20 |
| 1912556507 | Tamera Beth Ball | Nurse Practitioner | 150 Venus Drive, Gary, WV 24836 | 2019-09-06 |
| 1366674541 | Veronica Marie Brown | Dentist | Rt. 103 Supply Street, Gary, WV 24836 | 2009-08-20 |
| 1558528554 | Cristie D Hatfield | Dental Hygienist | Route 103 Supply St, Gary, WV 24836 | 2008-05-19 |
| 1548382435 | Tug River Health Association | Clinic/Center | Rt 103 Supply St, Gary, WV 24836 | 2007-04-04 |
| 1407922891 | Tug River Health Association, Inc | Clinic/Center | Us Route 103 Supply St, Gary, WV 24836 | 2006-11-28 |
| 1922184266 | Tug River Health Association, Inc | Clinic/Center | Route 103 Supply St., Gary, WV 24836 | 2006-10-30 |
| 1245286137 | David R Carr | Family Medicine | Route 103 Supply Street, Gary, WV 24836 | 2006-05-25 |
| 1174501068 | Tug River Health Association, Inc | Clinic/Center | Us Rt 52 Main Street, Gary, WV 24836 | 2006-01-03 |
| 1609427350 | Jessica Robin Marcus | Nurse Practitioner | Rr 103 Supply Street, Gary, WV 24836 | 2019-09-24 |
| Find all providers in zip 24836 | ||||
| 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 |
|---|---|---|---|---|
| 1003172008 | Healthy Smiles Nwi | Dentist | 4629 Melton Rd., Gary, IN 46403 | 2012-04-04 |
| 1366674541 | Veronica Marie Brown | Dentist | Rt. 103 Supply Street, Gary, WV 24836 | 2009-08-20 |
| 1023201175 | Radcliffe Family Dental, LLC | Dentist | 1901 Grant Street, Gary, IN 46404-2761 | 2007-08-22 |
| 1356564512 | Wyatt L Smith | Dentist | 5010 Broadway, Gary, IN 46408-4606 | 2007-04-10 |
| 1912030826 | Trinoda G Radcliffe | Dentist | 1901 Grant St, Gary, IN 46404-2761 | 2007-03-13 |
| 1073684247 | Gary Smiles Youth Dentistry, LLC | Dentist | 3506 Village Ct, Gary, IN 46408-1428 | 2006-11-10 |
| 1962500298 | Lynn E Gassoway | Dentist | 8412 Maple Ave, Gary, IN 46403 | 2006-09-20 |
| 1154934446 | Charmi Solanki | Dentist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2020-08-26 |
| 1669901690 | Hye Sung Kim | Dentist | 1320 Broadway, Gary, IN 46407-1309 | 2017-06-04 |
| 1396136511 | 5th Ave Dental Inc. | Dentist | 1619 W 5th Ave, Gary, IN 46404-1506 | 2015-02-10 |
| Find all providers in GARY | ||||
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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.