Provider Demographics
NPI:1699062653
Name:BATEMAN, CHRISTIE ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:ANN
Last Name:BATEMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHRISTIE
Other - Middle Name:ANN
Other - Last Name:SHROYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3825 KRAUS LN
Mailing Address - Street 2:UNIT J
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-5867
Mailing Address - Country:US
Mailing Address - Phone:513-738-2606
Mailing Address - Fax:513-738-3020
Practice Address - Street 1:3825 KRAUS LN
Practice Address - Street 2:UNIT J
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-5867
Practice Address - Country:US
Practice Address - Phone:513-738-2606
Practice Address - Fax:513-738-3020
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0236281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice