Organization
WILLIAM D. BATEMAN, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DALLAS BATEMAN DMD (OWNER)
(503) 375-0007
Entity
Organization
Contact information
Practice address
1995 COMMERCIAL ST SE STE 200, SALEM, OR 97302-5291
(503) 375-0007
Mailing address
1995 COMMERCIAL ST SE STE 200, SALEM, OR 97302-5291
(503) 375-0007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8364
OR
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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