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NPI 1457546798

OrganizationActive

Joseph D. Ballenger Jr. DDS PA

NPI 1457546798 · Oral and Maxillofacial Surgery (Dentist) · Nampa, ID

Provider details

NPI number: 1457546798
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Authorized official: Joseph Ballenger, Owner
License: D-2042-OS (ID)

Practice location

339 W Iowa Ave

Nampa, ID 83686-2856

Phone: (208) 467-1227

Fax: (208) 467-1299

More ID providers

Mailing address

339 W Iowa Ave

Nampa, ID 83686-2856

Registry dates

Enumerated: 2007-09-10
Last updated: 2008-02-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Joseph D. Ballenger Jr. DDS PA — NPI 1457546798, Nampa, ID | NPI Central