National Provider Identifier
Jeremy Paul Bateman, DMD
Jeremy Paul Bateman, DMD is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Brockport, NY and a listed phone number of (919) 721-8034.
Profile Overview
- NPI
- 1972795870
- Provider Type
- Individual
- Primary Specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Enumeration Date
- August 14, 2007
- Last Updated
- April 09, 2014
Practice Location
- 175 East Ave
- Brockport, NY 14420-1505
Phone: (919) 721-8034
Mailing Address
- 175 East Ave
- Brockport, NY 14420
Specialties
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
- NPI
- 1972795870
- Entity Type
- Individual
- Last Name
- Bateman
- First Name
- Jeremy
- Middle Name
- Paul
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 175 East Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420
- Mailing Country
- US
- Mailing Phone
- (585) 637-4474
- Practice Street Address
- 175 East Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1505
- Practice Country
- US
- Practice Phone
- (919) 721-8034
- Enumeration Date
- August 14, 2007
- Last Updated
- April 09, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)