Edward J Balling D M D & Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01850500 Issued in NJ

Legal business name

EDWARD J BALLING D M D & ASSOCIATES

Practice address

62 Warwick Rd
Stratford, NJ 08084-1729

Phone

(856) 783-0303

Fax

(856) 783-0502

NPI assigned

Dec 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward J Balling, DMDNPI 1407918105

Title

President

Phone

(856) 783-0303

Specialties & licenses 1

Addresses

Other names 1

• Stratford Dental Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward J. Balling, DMD

  • General Practice Dentistry
  • Stratford, NJ
  • NPI 1407918105
  NPD (past) Authorized official

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1720140429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WARWICK RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841729",
            "telephone_number": "856-783-0303",
            "fax_number": "856-783-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WARWICK RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841729",
            "telephone_number": "856-783-0303",
            "fax_number": "856-783-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J BALLING D M D & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "BALLING",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-783-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01850500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stratford Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stratford Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edie, a Duque
• Kevin Thomas Dwyer, D.O.
• Maria Elizabeth Eaise
• Scott Patrick Ebner, PA-C
• Oghenefegor Edegbo, MD
• Abdul W Elahi, M.D.
• Michelle Lynn Ellern, D.O.
• Daniel Thomas Ellis, MD
• Nicholas Eltman
• Genesis Juliana Escalante

• General Practice Dentistry in Stratford, NJ
• Providers in Stratford, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.