John W Balaban, DDS is a
Dentist - General Practice based in Gary, West Virginia. John W Balaban is licensed to practice in West Virginia (license number 1793) and his current practice location is
Route 103, Supply St, Gary, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 448-2101.
NPI number for John W Balaban is 1992887392 and his current mailing address is Po Box 108, Greensboro, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992887392.
Healthcare Provider's Profile
| Full Name | John W Balaban |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
|---|
| Location | Route 103, Supply St, Gary, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992887392
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for John W Balaban such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992887392 | NPI | - | NPPES |
| 4001085000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 1793 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John W Balaban is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John W Balaban, DDS
Po Box 108,
Greensboro, PA 15338-0108
Ph: (724) 943-3412 | John W Balaban, DDS
Route 103, Supply St,
Gary, WV 24836
Ph: (304) 448-2101 |
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