BLAKE BALLENGER DDS NPI 1861845539

NPI Information

Blake Ballenger, DDS is an oral and maxillofacial surgery dentist in Thornton, CO. 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. Blake Ballenger, DDS NPI is 1861845539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 E 128TH AVE
THORNTON, CO
ZIP 80241-427
Phone: (303) 451-6767

The enumeration date for this NPI number is 7/19/2016 and was last updated on 12/14/2020.

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:

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