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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003072638

Richard Lee Ballentine, DMD is a Student in an Organized Health Care Education/Training Program in San Antonio, Texas. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 358-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1003072638
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 4, 2008
Last updated in NPPESAugust 4, 2008

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