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

Mark R Ballentine DDS, PLLC

Organization Dentist · NPI 1578708087

Mark R Ballentine DDS, PLLC is a Dentist in Allen Park, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9815 Reeck Rd
Allen Park, MI 48101-1356
Phone: (313) 383-8960
Fax: (313) 383-7313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D12983 (MI)

Record details

NPI number1578708087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Ballentine — Sole Owner · (313) 383-8960
NPI enumeratedDecember 12, 2008
Last updated in NPPESDecember 12, 2008
Mailing address9815 Reeck Rd, Allen Park, MI 48101-1356

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