NPI 1366657322 · live from the CMS NPI Registry
Eric Stephen Balliet, D.D.S.
Dentist in Georgetown, DE. National Provider Identifier 1366657322, active.
NPI record
| NPI | 1366657322 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 212 W Market St, Georgetown, DE 19947 |
| Practice phone | 302-856-3374 |
| Enumerated | May 13, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | DE0001090 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.