Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ballo DDS PC

Organization Dental Clinic/Center · NPI 1174135149

Ballo DDS PC is a Dental Clinic/Center in Warren, Michigan. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23105 Van Dyke Ave
Warren, MI 48089-1622
Phone: (586) 759-5353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1174135149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nasem Ballo — Doctor/Owner · (586) 759-5353
Other names Superteeth Dental Care
NPI enumeratedAugust 20, 2020
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020
Mailing address23105 Van Dyke Ave, Warren, MI 48089-1622

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