Individual
DR. DAN L BALLENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.A.
Contact information
Practice address
12 OFFICE PARK DR, LITTLE ROCK, AR 72211-3896
(501) 227-7999
(501) 227-9547
Mailing address
12 OFFICE PARK DR, LITTLE ROCK, AR 72211-3896
(501) 227-7999
(501) 227-9547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2520
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58597
ARKANSAS BLUE CROSS
AR
01
—
831313
UNITED CONCORDIA
AR
Enumeration date
08/01/2006
Last updated
06/18/2013
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