Provider Demographics
NPI:1962290676
Name:DALE D BATTEN, DMD
Entity type:Organization
Organization Name:DALE D BATTEN, DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PAYOR CONTRACTS
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:MYERS
Authorized Official - Last Name:CASTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-732-1504
Mailing Address - Street 1:123 W PLYMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-2721
Mailing Address - Country:US
Mailing Address - Phone:386-736-8865
Mailing Address - Fax:
Practice Address - Street 1:123 W PLYMOUTH AVE
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-2721
Practice Address - Country:US
Practice Address - Phone:386-736-8865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental