JOSEPH D BALLENGER JR DDS PA NPI 1497858203

NPI Information

  • NPI: 1497858203
  • Provider Name: JOSEPH D BALLENGER JR, DDS, PA
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Former Legal Business Name: COMSTOCK & BALLENGER LLS
  • Address: 211 N WHITLEY DR
    SUITE 3
    FRUITLAND, ID
    ZIP 83619
  • Phone: (208) 452-4808

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NPI Details

JOSEPH D BALLENGER JR, DDS, PA is an oral and maxillofacial surgery dentist in Fruitland, ID. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. JOSEPH D BALLENGER JR, DDS, PA NPI is 1497858203. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Comstock & Ballenger Lls.

The provider's business location address is:

211 N WHITLEY DR
SUITE 3
FRUITLAND, ID
ZIP 83619-704
Phone: (208) 452-4808
Fax: (208) 452-4816

The provider's authorized official is Joseph D Ballenger .
The authorized official title is Oral & Maxillonfacial Surgeon and has the following contact phone number (208) 452-4808.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryD-2042-05IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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