Provider Type Icon

BALSTER PEDIATRIC DENTISTRY PC NPI 1598922247


NPI Information

NPI: 1598922247
Provider Name: BALSTER PEDIATRIC DENTISTRY, PC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
4207 GLASS RD NE
STE 2
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 294-8181
Get Directions

BALSTER PEDIATRIC DENTISTRY, PC is a pediatric dentistry dentist in Cedar Rapids, IA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BALSTER PEDIATRIC DENTISTRY, PC NPI is 1598922247. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4207 GLASS RD NE
STE 2
CEDAR RAPIDS, IA
ZIP 52402-538
Phone: (319) 294-8181
Fax: (319) 261-8182

The provider's authorized official is Erik Thomas Balster .
The authorized official title is Owner and has the following contact phone number (319) 294-8181.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 5/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11475392MEDICAIDIOWA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.