| 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 |