Provider Demographics
NPI:1831269869
Name:BALCAR, ROBERT JOHN (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOHN
Last Name:BALCAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7100 SPRING MEADOWS WEST DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528
Mailing Address - Country:US
Mailing Address - Phone:419-866-4271
Mailing Address - Fax:419-866-4815
Practice Address - Street 1:7100 SPRING MEADOWS DR W
Practice Address - Street 2:SUITE B
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-9296
Practice Address - Country:US
Practice Address - Phone:419-866-4271
Practice Address - Fax:419-866-4815
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0191211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice