Blair Arthur Bateman, DDS
Individual provider Active NPI General Practice Dentistry · Clinton, UT
NPI 1255535563 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255535563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 881438949921 (UT)
- Practice address
- 2179 West 1800 North
#A
Clinton, UT 84015 - Phone
- (801) 773-3777
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 881438949921 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blair a Bateman DDS PC Family Dentistry | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 881438949921 | UT | Yes |
Addresses
Primary practice location
2179 West 1800 North
#A
Clinton, UT 84015
Mailing address
2179 West 1800 North
#A
Clinton, UT 84015
Phone (801) 773-3777
Other providers in Clinton, UT
- Thomas N Austad
- Kirsten E Baca
- Christopher Barber
- Todd C Barney
- Nermeen Nadeem Baseer
- Diana Battrick
- Hillevi Bauer
- Carly Bitton
- Cammy Black
- Jed Black
All providers in Clinton, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.