STEPHANIEBALLENTINE,DDS,PA
NPI 1851504609
Dentist - General Practice in Charlotte, NC

Active since May 08, 2007
1315 MATHESON AVE, CHARLOTTE, NC 28205(704) 334-6907(704) 376-4773 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanieballentine,dds,pa NPPES

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

STEPHANIEBALLENTINE,DDS,PA (NPI 1851504609) is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since May 2007. The organization lists Stephanie Ballentine, President, as its authorized official.

NPPES Registry Identity

NPI1851504609
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTEPHANIEBALLENTINE,DDS,PA
Location Address1315 MATHESON AVECharlotte, NC 28205-1670
Mailing Address1315 Matheson AveCharlotte, NC 28205-1670 · (704) 334-6907 · Fax (704) 376-4773
Fax(704) 376-4773
Organization SubpartNo
Authorized OfficialStephanie BallentinePresident · (704) 334-6907
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1851504609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 4831
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1315 MATHESON AVE, Charlotte, NC 28205

Other Identifiers 1

Medicaid8990381NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1315 MATHESON AVE
CHARLOTTE, NC 28205
Clinic/Center (Dental)
1315 MATHESON AVE
CHARLOTTE, NC 28205
Dentist (General Practice)
1315 MATHESON AVE
CHARLOTTE, NC 28205
Dentist (General Practice)
1315 MATHESON AVE
CHARLOTTE, NC 28205

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 Stephanieballentine,dds,pa's NPI number?

The NPI number for Stephanieballentine,dds,pa is 1851504609. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Stephanieballentine,dds,pa located?

Stephanieballentine,dds,pa is located at 1315 Matheson Ave, Charlotte, NC 28205. The listed phone number is (704) 334-6907.

What is Stephanieballentine,dds,pa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Stephanieballentine,dds,pa was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.