# DR. DEREK L BATES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225683022
- **Gender:** Man
- **Credential:** MD, DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D14268 | MN | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 74920 | MN | Yes |

## Other

- **Enumeration date:** 08/08/2019
- **Last updated:** 08/01/2023