Provider Demographics
NPI:1770704975
Name:BALAZSI, DENNIS L (DMD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:L
Last Name:BALAZSI
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 1:1300 S OLDEN AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-2907
Mailing Address - Country:US
Mailing Address - Phone:609-396-5303
Mailing Address - Fax:609-587-7135
Practice Address - Street 1:1300 S OLDEN AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-2907
Practice Address - Country:US
Practice Address - Phone:609-396-5303
Practice Address - Fax:609-587-7135
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ112451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice