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Deactivated NPI 1154316362 Deactivated / Inactive NPI Male Practitioner

Dr. E. Lee Balentine , DMD

Dentist - General Practice • Maupin, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. E. Balentine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2005
NPI Deactivation Date January 15, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. E. Balentine, DMD was a registered Dentist - General Practice practicing in Maupin, OR. Throughout an active medical career spanning 21 years, Dr. Balentine provided care at the practice location at 503 DESCHUTES AVE until profile deactivation on 2026-01-15.

Practice Location & Contact Primary Location

Practice Address

503 Deschutes Ave

Maupin, OR 970370147

Telephone 5413952636

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Maupin, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Maupin, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D5022

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 15, 2026

Record deactivated on January 15, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 503 DESCHUTES AVE, MAUPIN, OR 970370147 (Tel: 5413952636)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 147, 503 DESCHUTES AVE., MAUPIN, OR 970370147 (Tel: 5413952636)

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Provider Name / Credentials Updated July 08, 2007

Recorded as E. BALENTINE, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D5022 in OR)

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Initial NPI Registration & Enumeration September 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154316362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2005
Last Update: July 08, 2007
Deactivation Date: January 15, 2026

Mailing Address

Po Box 147, 503 Deschutes Ave.

Maupin, OR 970370147

Phone: 5413952636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.