Provider Demographics
NPI:1558700195
Name:BATASTINI ORTHODONTICS, PC
Entity type:Organization
Organization Name:BATASTINI ORTHODONTICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:F
Authorized Official - Last Name:BATASTINI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:856-428-1888
Mailing Address - Street 1:69 HADDONFIELD - BERLIN ROAD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034
Mailing Address - Country:US
Mailing Address - Phone:856-428-1888
Mailing Address - Fax:856-354-2081
Practice Address - Street 1:69 HADDONFIELD - BERLIN ROAD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:856-428-1888
Practice Address - Fax:856-354-2081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty