John George Ballouz, DDS Valid NPI

Individual provider · Dentist · Detroit, MI

NPI

1609668128

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

2901602663 (MI)

Sex

Male

Sole proprietor

Yes

Enumerated

2025-05-20

Last updated

2026-07-11