Provider Demographics
NPI:1679917058
Name:DENTAL HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:DENTAL HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BALATGEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:610-796-2835
Mailing Address - Street 1:2433 MORGANTOWN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-9692
Mailing Address - Country:US
Mailing Address - Phone:610-796-2835
Mailing Address - Fax:610-898-1302
Practice Address - Street 1:2433 MORGANTOWN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-9692
Practice Address - Country:US
Practice Address - Phone:610-796-2835
Practice Address - Fax:610-898-1302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030258L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental