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Blake Ballenger, DDS
Oral and Maxillofacial Surgery (Dentist) in Thornton, Colorado
NPI 1861845539

Blake Ballenger is a Oral and Maxillofacial Surgery (Dentist) based in Thornton, CO and is specialized in Oral and Maxillofacial Surgery. Blake Ballenger practices in Thornton, CO and has the professional credentials of DDS. The NPI Number for Blake Ballenger is 1861845539 and holds a License No. DEN.00204239 (Colorado).

The current practice location address for Blake Ballenger is 300 E 128Th Ave, Thornton, CO and can be reached out via phone at 303-451-6767.

Location: 300 E 128Th Ave, Thornton, CO, 80241-2427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861845539
Provider Name
Blake Ballenger
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
300 E 128Th Ave, Thornton, CO, 80241-2427
Phone Number
303-451-6767
Fax Number
Provider Enumeration Date
07/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 E 128Th Ave
City
Thornton
State
Colorado
Zip
80241-2427
Phone Number
303-451-6767
Fax Number
person
Provider Business Mailing Address Details
Address
300 E 128Th Ave
City
Thornton
State
Colorado
Zip
80241-2427
Phone Number
303-451-6767
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DEN.00204239 (Colorado)
Definition
The specialty of dentistry which includes 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.
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