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John W Balaban, DDS
General Practice Dentistry in Gary, West Virginia
NPI 1992887392

John W Balaban is a General Practice Dentistry based in Greensboro, WV and is specialized in General Practice. John W Balaban practices in Gary, WV and has the professional credentials of DDS. The NPI Number for John W Balaban is 1992887392 and holds a License No. 1793 (West Virginia).

The current practice location address for John W Balaban is Route 103, Supply St, Gary, WV and can be reached out via phone at 304-448-2101 and via fax at 304-448-3217.

Location: Route 103, Supply St, Gary, WV, 15338-0108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992887392
Provider Name
John W Balaban
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
Route 103, Supply St, Gary, WV, 15338-0108
Phone Number
304-448-2101
Fax Number
304-448-3217
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4001085000 05 WV
institution
Provider Business Practice Location Address Details
Address
Route 103, Supply St
City
Gary
State
West Virginia
Zip
24836
Phone Number
304-448-2101
Fax Number
304-448-3217
person
Provider Business Mailing Address Details
Address
Route 103, Supply St
City
Gary
State
West Virginia
Zip
24836
Phone Number
304-448-2101
Fax Number
304-448-3217
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1793 (West Virginia)
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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