Amit Batra, DDS

Individual provider Active NPI General Practice Dentistry · Lapeer, MI

NPI 1295886943 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295886943
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2901018048 (MI)
Practice address
456 S Main St
Lapeer, MI 48446-2427
Phone
(810) 667-3535
Fax
(810) 245-5723
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2901018048MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Dental Michigan II, PLLC General Practice Past
since Mar 21, 2021
Accepting new patients
Jackson Dental Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018048 MI Yes

Addresses

Primary practice location

456 S Main St
Lapeer, MI 48446-2427

Mailing address

1780 Sunset Dr
Bloomfield Hills, MI 48302-0207
Phone (248) 790-4167

Other providers in Lapeer, MI

All providers in Lapeer, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.