Provider Demographics
NPI:1932276011
Name:FRANK S. BALABAN D.D.S. M.S. PC.
Entity Type:Organization
Organization Name:FRANK S. BALABAN D.D.S. M.S. PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:S
Authorized Official - Last Name:BALABAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:865-637-7983
Mailing Address - Street 1:103 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-3302
Mailing Address - Country:US
Mailing Address - Phone:865-637-7983
Mailing Address - Fax:865-524-8815
Practice Address - Street 1:103 CONCORD ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-3302
Practice Address - Country:US
Practice Address - Phone:865-637-7983
Practice Address - Fax:865-524-8815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty