BALLO DDS PC
NPI 1174135149
Clinic/Center - Dental in Warren, MI

Active since August 20, 2020
23105 VAN DYKE AVE, WARREN, MI 48089(586) 759-5353 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ballo Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALLO DDS PC (NPI 1174135149), doing business as Superteeth Dental Care, is a healthcare organization registered as a dental in Warren, Michigan and active in the NPI registry since August 2020. The organization lists Nasem Ballo, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1174135149
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBALLO DDS PC
Location Address23105 VAN DYKE AVEWarren, MI 48089-1622
Mailing Address23105 Van Dyke AveWarren, MI 48089-1622 · (586) 759-5353
Organization SubpartNo
Authorized OfficialNasem BalloDoctor/owner · (586) 759-5353
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
NPI 1174135149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
23105 VAN DYKE AVE, Warren, MI 48089

Other Names 1

Doing Business AsSuperteeth Dental Care

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
23105 VAN DYKE AVE
WARREN, MI 48089
Dentist (General Practice)
23105 VAN DYKE AVE
WARREN, MI 48089
Dentist (General Practice)
23105 VAN DYKE AVE
WARREN, MI 48089

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ballo Dds PC's NPI number?

The NPI number for Ballo Dds PC is 1174135149. It was assigned to this organization in the NPPES registry on August 20, 2020.

Where is Ballo Dds PC located?

Ballo Dds PC is located at 23105 Van Dyke Ave, Warren, MI 48089. The listed phone number is (586) 759-5353.

What is Ballo Dds PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Ballo Dds PC was last updated on August 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.