Individual
DR. JEREMY PAUL BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
175 EAST AVE, BROCKPORT, NY 14420-1505
(919) 721-8034
Mailing address
175 EAST AVE, BROCKPORT, NY 14420
(585) 637-4474
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
056559
NY
Other
Enumeration date
08/14/2007
Last updated
04/09/2014
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