National Provider Identifier

Mark Balonek, DDS

Mark Balonek, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 426-3050.

NPI 1326198565Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1326198565
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
January 11, 2007
Last Updated
July 08, 2007

Practice Location

  • 513 Beahan RD
  • Rochester, NY 14624-3403

Phone: (585) 426-3050

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1326198565
Entity Type
Individual
Last Name
Balonek
First Name
Mark
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
513 Beahan RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-3403
Mailing Country
US
Mailing Phone
(585) 426-3050
Practice Street Address
513 Beahan RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-3403
Practice Country
US
Practice Phone
(585) 426-3050
Enumeration Date
January 11, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
041559 (NY, Dental License Number)