Individual
TIMOTHY BALZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 E MAIN ST, LINN, MO 65051-9634
(208) 914-5752
Mailing address
1217 E MAIN ST, LINN, MO 65051-9634
(573) 897-2388
(573) 897-3816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13349
NC
1223G0001X
General Practice Dentistry
Primary
2025040537
MO
Other
Enumeration date
03/28/2023
Last updated
03/11/2026
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