# BATISTA FAMILY DENTAL L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ramon E Batista DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316152374
- **Authorized official:** DR. RAMON E BATISTA SR. DDS (DENTIST)
- **Authorized official phone:** (201) 295-9700

## Contact information

- **Practice address:** 5700 BERGENLINE AVE, 2F, WEST NEW YORK, NJ 07093-1254
- **Practice address phone:** (201) 295-9700
- **Practice address fax:** (201) 295-3141
- **Mailing address:** 5700 BERGENLINE AVE, SECOND FLOOR, WEST NEW YORK, NJ 07093-1254
- **Mailing address phone:** (201) 295-9700
- **Mailing address fax:** (201) 295-3141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI20514 | NJ | Yes |

## Other

- **Enumeration date:** 05/13/2007
- **Last updated:** 03/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 599821 | UNITED HEALTHCARE | NJ |
| 05 | — | 8501009 | — | NJ |
| 01 | — | 923144 | UNITED CONCORDIA | NJ |