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NPI Code Detail

MEDICARE: BALES AND KING ORTHODONTIC PARTNERSHIP

MEDICARE: BALES AND KING ORTHODONTIC PARTNERSHIP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11770688517OTHERCANPI TYPE 2
21487153680OTHERCANPI TYPE 1 INDIVIDUAL
31760621593OTHERCANPI TYPE 1 INDIVIDUAL
4942443492OTHERCAPREVIOUS TYPE 2 NPI

General Provider Information

NPI Number : 1013721216
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALES AND KING ORTHODONTIC PARTNERSHIP
Provider Business Mailing Address
First Line : 1713 NOVATO BLVD
Second Line :
City : NOVATO
State : CA
Zip : 94947-3014
Country : US
Telephone Number : 415-897-3141
Fax Number : 415-898-3445
Provider Business Practice Location Address
First Line : 1713 NOVATO BLVD
Second Line :
City : NOVATO
State : CA
Zip : 94947-3014
Country : US
Telephone Number : 415-897-3141
Fax Number :
Authorized Official
Title or Position : OWNER/ORTHODONTIST
Name : DR. KATHLEEN BALES
Credential : DDS, MS
Telephone Number : 415-897-3141
Provider Enumeration Date : 02/06/2025
Last Update Date : 02/06/2025

Similar Medicare Providers

1669475661 — DR. THOMAS REED BALES DDS
Practice Location Address:
1713 NOVATO BLVD
NOVATO, CA
94947-3014
Practice Phone: 415-897-3141
Practice Fax: 415-898-3445
1760621593 — DR. KATHLEEN MARIE BALES DDS, MS
Practice Location Address:
1713 NOVATO BLVD
NOVATO, CA
94947-3014
Practice Phone: 415-897-3141
Practice Fax: 415-898-3445
1073351292 — DR. ANA CALLES ZAND DMD, MSD
Practice Location Address:
1713 NOVATO BLVD
NOVATO, CA
94947-3014
Practice Phone: 415-897-3141
Practice Fax:
1295694941 — NICOLE SCHMITT OTR/L
Practice Location Address:
19 SHARILYN LN
NOVATO, CA
94947-2088
Practice Phone: 415-596-0407
Practice Fax:
1790788107 — MARIN COMMUNITY CLINIC
Practice Location Address:
400 PROFESSIONAL CENTER DR , STE 424
NOVATO, CA
94947-4368
Practice Phone: 415-448-1531
Practice Fax: 415-892-8732
1053318824 — STEPHEN LEWIS DALTON M.D.
Practice Location Address:
400 PROFESSIONAL CENTER DR , SUITE 414
NOVATO, CA
94947-4367
Practice Phone: 415-892-0754
Practice Fax: 415-897-3204

Directions to “BALES AND KING ORTHODONTIC PARTNERSHIP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.