Individual
DR. KELLY ANN BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3205 N. UNIVERSITY DRIVE, SUITE B, NACOGDOCHES, TX 75965
(936) 657-0110
Mailing address
436 SPRING CREEK DRIVE, NACOGDOCHES, TX 75965-6985
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26371
TX
122300000X
Dentist
DS038488
PA
Other
Enumeration date
09/16/2010
Last updated
10/10/2016
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