Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY MAX BATESOLE, D.D.S
ActiveDR. JEFFREY MAX BATESOLE, D.D.S is a Dentist healthcare provider located in FORT WAYNE, Indiana. NPI 1306250642 is currently active in the NPPES registry. Verify at CMS.
Dentist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1306250642
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2014 (12.204120681058 yrs)
- Last Updated
- Apr 19, 2018
- Licenses
-
12012144A (IN)D10220 (OR)
Practice Information
- Address
-
9121 ILLINOIS RDFORT WAYNE, IN, 468045753Browse IN providers · Browse ZIP 46804
- Phone
- 2602418454
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL THOMAS TOM | D.D.S. | 1477558138 |
| DR. CHAD STOLLER | DDS, PA-C | 1700871118 |
| DR. DWANE RICHARD BRUICK | DDS | 1740255991 |
| DR. ROLAND FRED SLYBY | DDS | 1497765978 |
| DR. MICHAEL ROBERT GLASSLEY | D.D.S. | 1841304573 |
| DR. PHILIP W GARDNER | DDS | 1497865844 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.