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Dr. Andrew Richard Ballin, DDS
Oral and Maxillofacial Surgery (Dentist) in Minneapolis, Minnesota
NPI 1891869293

Andrew Richard Ballin is a Oral and Maxillofacial Surgery (Dentist) based in Minneapolis, MN and is specialized in Oral and Maxillofacial Surgery. Andrew Richard Ballin practices in Minneapolis, MN and has the professional credentials of DDS. The NPI Number for Andrew Richard Ballin is 1891869293 and holds a License No. D7932 (Minnesota).

The current practice location address for Andrew Richard Ballin is 6053 Nicollet Ave, Minneapolis, MN and can be reached out via phone at 612-866-3665 and via fax at 612-866-9461. You can also correspond with Andrew Richard Ballin through the mailing address at 6053 NICOLLET AVE, MINNEAPOLIS, MN - 55419-2558 (mailing address contact number: 612-866-3665).

Location: 6053 Nicollet Ave, Minneapolis, MN, 55419-2558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891869293
Provider Name
Andrew Richard Ballin
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6053 Nicollet Ave, Minneapolis, MN, 55419-2558
Phone Number
612-866-3665
Fax Number
612-866-9461
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74230BA 01 MN BLUE CROSS BLUE SHIELD
8614783 01 MN MEDICA MEDICAL
institution
Provider Business Practice Location Address Details
Address
6053 Nicollet Ave
City
Minneapolis
State
Minnesota
Zip
55419-2558
Phone Number
612-866-3665
Fax Number
612-866-9461
person
Provider Business Mailing Address Details
Address
6053 Nicollet Ave
City
Minneapolis
State
Minnesota
Zip
55419-2558
Phone Number
612-866-3665
Fax Number
612-866-9461
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D7932 (Minnesota)
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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