Tomas J. Ballesteros D.M.D. PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0013657 Issued in FL

Legal business name

TOMAS J. BALLESTEROS D.M.D. PA

Practice address

810 W Desoto St
Clermont, FL 34711-2110

Phone

(352) 394-3071

Fax

(352) 394-3079

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tomas J. Ballesteros, DMD

Title

Owner

Phone

(352) 394-3071

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013014000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W DESOTO ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112110",
            "telephone_number": "352-394-3071",
            "fax_number": "352-394-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W DESOTO ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112110",
            "telephone_number": "352-394-3071",
            "fax_number": "352-394-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMAS J. BALLESTEROS D.M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-394-3071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Faye Tipton, APRN
• Kelly Todd
• Michael C Todd, PTA
• Frances Toddy, M.S., CCC-SLP
• Allison Reiprecht Toler, O.D.
• Antoine Tondereau
• Betzy Tonn, APRN
• Tori Kelley (Central Florida Mental Health)
• Bernardo Torres Cursino de Mou
• Danielle Torres, RPH

• General Practice Dentistry in Clermont, FL
• Providers in Clermont, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.