Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK WILLIAM BALENSEIFEN, D.D.S.
Active Sole ProprietorDR. MARK WILLIAM BALENSEIFEN, D.D.S. is a Pediatric Dentistry healthcare provider located in YUKON, Oklahoma. NPI 1366500142 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · YUKON, OK
Registration Details
- NPI Number
- 1366500142
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2006 (19.660707787586 yrs)
- Last Updated
- Mar 26, 2024
- License
-
5210 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 E MAIN ST STE 4YUKON, OK, 730992259Browse OK providers · Browse ZIP 73099
- Phone
- 4054674092
- Fax
- 4054674429
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
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.