# T JAMES BATISTAS DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Railroad Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457566903
- **Authorized official:** DR. THEOFANIY J BATISTAS DDS (DOCTOR OWNER)
- **Authorized official phone:** (703) 365-0230

## Contact information

- **Practice address:** 9110 RAILROAD DRIVE, SUITE 201, MANASSAS PARK, VA 20111
- **Practice address phone:** (703) 365-0230
- **Practice address fax:** (703) 365-0234
- **Mailing address:** 9110 RAILROAD DRIVE, SUITE 201, MANASSAS PARK, VA 20111
- **Mailing address phone:** (703) 365-0230
- **Mailing address fax:** (703) 365-0234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401007652 | VA | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 07/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0401007652 | DENTAL STATE LICENSE NUM | VA |