Provider Demographics
NPI:1699707034
Name:BATCHELOR, WILLIAM MAC JR (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MAC
Last Name:BATCHELOR
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 VILCOM CENTER DR STE 120
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1789
Mailing Address - Country:US
Mailing Address - Phone:192-389-9619
Mailing Address - Fax:252-237-2164
Practice Address - Street 1:77 VILCOM CENTER DR STE 120
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1789
Practice Address - Country:US
Practice Address - Phone:192-389-9619
Practice Address - Fax:252-237-2164
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50681223S0112X
NC05068204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
584444OtherUNITED CONCORDIA
NC8990496Medicaid
8754578OtherUNITED HEALTHCARE
90496OtherBLUE CROSS/BLUE SHIELD
584444OtherUNITED CONCORDIA
T63874Medicare UPIN
241201AMedicare ID - Type Unspecified