NPI 1003072638
Richard Lee Ballentine, DMD
Practice location
- Address
- 4502 Medical Dr, San Antonio, TX 78229-4402
- Phone
- (210) 358-2015
- Mailing address
- 7703 Floyd Curl Dr, San Antonio, TX 78229-3901
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003072638
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Aug 2008
- Record last updated
- 4 Aug 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.