Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK WILLIAM BALENSEIFEN, DDS, MS.
Active Sole ProprietorDR. JACK WILLIAM BALENSEIFEN, DDS, MS. is a Orthodontics healthcare provider located in BETHANY, Oklahoma. NPI 1053485433 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BETHANY, OK
Registration Details
- NPI Number
- 1053485433
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2006 (19.689233722872 yrs)
- Last Updated
- Mar 1, 2026
- License
-
3042 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7505 NW 23RD STBETHANY, OK, 730084941Browse OK providers · Browse ZIP 73008
- Phone
- 4057896772
- Fax
- 4057896787
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in BETHANY, OK
| Name | Credential | NPI |
|---|---|---|
| JAKE BOONE | — | 1649914938 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.