Provider Demographics
NPI:1689493470
Name:BATESON DENTAL CORPORATION
Entity type:Organization
Organization Name:BATESON DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATESON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-799-2692
Mailing Address - Street 1:8182 LARK BROWN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6428
Mailing Address - Country:US
Mailing Address - Phone:410-799-2692
Mailing Address - Fax:410-799-3931
Practice Address - Street 1:8182 LARK BROWN RD STE 101
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6428
Practice Address - Country:US
Practice Address - Phone:410-799-2692
Practice Address - Fax:410-799-3931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty