| Dr E Lee Balentine, DMD | |
| 
					503 Deschutes Ave, Maupin, OR 97037-0147  | |
| (541) 395-2636 | |
| Not Available | 
| Full Name | Dr E Lee Balentine | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - General Practice | 
| Location | 503 Deschutes Ave, Maupin, Oregon | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154316362 | NPI | - | NPPES | 
| 220483 | Other | OR | OREGON HEALTH PLAN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5022 (Oregon) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr E Lee Balentine, DMD Po Box 147, 503 Deschutes Ave., Maupin, OR 97037-0147 Ph: (541) 395-2636  | Dr E Lee Balentine, DMD 503 Deschutes Ave, Maupin, OR 97037-0147 Ph: (541) 395-2636  | 
Dr. Alexander Gregory O'neal Petersen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1605 George Jackson Rd, Maupin, OR 97037 Phone: 541-395-2911  | |
Dr. Austen Cimone Sawzak, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1605 George Jackson Rd, Maupin, OR 97037 Phone: 541-395-2911  |