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Dr. E. Lee Balentine, DMD
General Practice Dentistry in Maupin, Oregon
NPI 1154316362

E. Lee Balentine is a General Practice Dentistry based in Maupin, OR and is specialized in General Practice. E. Lee Balentine practices in Maupin, OR and has the professional credentials of DMD. The NPI Number for E. Lee Balentine is 1154316362 and holds a License No. D5022 (Oregon).

The current practice location address for E. Lee Balentine is 503 Deschutes Ave, Maupin, OR and can be reached out via phone at 541-395-2636.

Location: 503 Deschutes Ave, Maupin, OR, 97037-0147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154316362
Provider Name
E. Lee Balentine
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
503 Deschutes Ave, Maupin, OR, 97037-0147
Phone Number
541-395-2636
Fax Number
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
220483 01 OR OREGON HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
503 Deschutes Ave
City
Maupin
State
Oregon
Zip
97037-0147
Phone Number
541-395-2636
Fax Number
person
Provider Business Mailing Address Details
Address
503 Deschutes Ave
City
Maupin
State
Oregon
Zip
97037-0147
Phone Number
541-395-2636
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D5022 (Oregon)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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