Individual
NERMIN J. BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
705 COLISEUM DR, WINSTON-SALEM, NC 27106-5312
(336) 721-7921
(336) 721-7926
Mailing address
705 COLISEUM DR, WINSTON-SALEM, NC 27106-5312
(336) 721-7921
(336) 721-7926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7404
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017U2
BCBSNC
NC
05
—
89902H3
—
NC
01
—
902H3
HEALTH CHOICE
NC
Enumeration date
06/22/2006
Last updated
10/10/2007
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