OrganizationActive
Joseph D Ballenger Jr, DDS, PA
NPI 1497858203 · Oral and Maxillofacial Surgery (Dentist) · Fruitland, ID
Provider details
- NPI number
- 1497858203
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Joseph Ballenger, Oral & Maxillonfacial Surgeon(208) 452-4808
- License
- D-2042-05 (ID)
Specialties & taxonomies
Dental Providers
Practice location
211 N Whitley Dr
Suite 3
Fruitland, ID 83619-2704
Phone: (208) 452-4808
Fax: (208) 452-4816
Approximate (ZIP-level) locationGet directions
Mailing address
211 N Whitley Dr
Fruitland, ID 83619-2704
Other names (DBA / former)
- Former legal business name
- Comstock & Ballenger Lls
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.