Dr Jack William Balenseifen, DDS, MS - Dentist in Bethany, OK

Dr Jack William Balenseifen, DDS, MS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Bethany, Oklahoma. Dr Jack William Balenseifen is licensed to practice in Oklahoma (license number 3042) and his current practice location is 7505 Nw 23rd St, Bethany, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (405) 789-6772.

NPI number for Dr Jack William Balenseifen is 1053485433 and his current mailing address is 7505 Nw 23rd St, Bethany, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053485433.

Contact Information

Dr Jack William Balenseifen, DDS, MS
7505 Nw 23rd St,
Bethany, OK 73008-4941
(405) 789-6772
(405) 789-6787

Map and Direction




Healthcare Provider's Profile

Full NameDr Jack William Balenseifen
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location7505 Nw 23rd St, Bethany, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053485433
  • Provider Enumeration Date: 11/20/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Dr Jack William Balenseifen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053485433NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 3042 (Oklahoma)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. Dr Jack William Balenseifen 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 AddressPractice Location Address
Dr Jack William Balenseifen, DDS, MS
7505 Nw 23rd St,
Bethany, OK 73008-4941

Ph: (405) 789-6772
Dr Jack William Balenseifen, DDS, MS
7505 Nw 23rd St,
Bethany, OK 73008-4941

Ph: (405) 789-6772

Reviews and Comments


Dentist in Bethany, OK

Dr. James A Durst, D.D.S.
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Dr. Lawrence John Olson Jr., DDS
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Dr. Melvin Burnitt Baker Jr., D.D.S.
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Medicare: Not Enrolled in Medicare
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Phone: 405-787-5266    Fax: 405-495-5060
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Medicare: Not Enrolled in Medicare
Practice Location: 7900 Nw 23rd St, Suite 9, Bethany, OK 73008
Phone: 405-789-4370    Fax: 405-789-4091

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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