Provider Demographics
NPI:1275210155
Name:BATISTA, MARIA ESTHER (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ESTHER
Last Name:BATISTA
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 WAITSEL DR UNIT 204
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3451
Mailing Address - Country:US
Mailing Address - Phone:404-227-0823
Mailing Address - Fax:
Practice Address - Street 1:528 ALBEMARLE DR STE 200
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5584
Practice Address - Country:US
Practice Address - Phone:757-547-5105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014185611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice