# AMIT BATRA D.D.S

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689824369
- **Authorized official:** MRS. DONNA FARENGER (OFFICE MANAGER)
- **Authorized official phone:** (586) 412-1144

## Contact information

- **Practice address:** 15760 19 MILE RD, STE. A, CLINTON TOWNSHIP, MI 48038-6319
- **Practice address phone:** (586) 412-1144
- **Practice address fax:** (586) 412-8959
- **Mailing address:** 15760 19 MILE RD, STE. A, CLINTON TOWNSHIP, MI 48038-6319
- **Mailing address phone:** (586) 412-1144
- **Mailing address fax:** (586) 412-8959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 18743 | MI | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 09/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1164644209 | NPI INDIVIDUAL | MI |
| 01 | — | 1407836141 | NPI INDIVIDUAL | MI |