Individual
DR. JACOB RICHARD BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1567 N EASTMAN RD, SUITE 16, KINGSPORT, TN 37664-2683
(423) 247-9231
(423) 246-9299
Mailing address
1567 N EASTMAN RD, SUITE 16, KINGSPORT, TN 37664-2683
(423) 247-9231
(423) 246-9299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9863
TN
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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