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Individual

DR. JERRY L BATTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MPH

Contact information

Practice address
3820 BRIDGES ST, SUITE A, MOREHEAD CITY, NC 28557-2918
(252) 728-8550
(252) 222-7739
Mailing address
PO BOX 160, ATLANTIC BEACH, NC 28512-0160
(252) 808-7080

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
4608
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0727E
DENTAL CLINIC
NC
05
3404471
NC
Enumeration date
03/19/2007
Last updated
07/09/2007
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