Provider Demographics
NPI:1700029634
Name:BALINGTON, TODD (DMD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:
Last Name:BALINGTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 CEDAR SPRINGS RD APT 3327
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-1446
Mailing Address - Country:US
Mailing Address - Phone:305-502-5174
Mailing Address - Fax:
Practice Address - Street 1:1201 BENT OAKS CT
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-3300
Practice Address - Country:US
Practice Address - Phone:305-502-5174
Practice Address - Fax:940-383-3300
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX244271223G0001X
FL176411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX821508698OtherPPO