T James Batistas DDS PLLC

Organization Active NPI General Practice Dentistry · Manassas Park, VA

NPI 1457566903 · NPPES record last updated Jul 8, 2008

Key facts

NPI
1457566903
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401007652 (VA)
Legal business name
T JAMES BATISTAS DDS PLLC
Practice address
9110 Railroad Drive
Suite 201
Manassas Park, VA 20111
Phone
(703) 365-0230
Fax
(703) 365-0234
NPI assigned
May 10, 2007
Organization subpart
No

Authorized official

Name
Dr. Theofaniy J Batistas, DDS
Title
Doctor Owner
Phone
(703) 365-0230

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

9110 Railroad Dr
Ste 201
Manassas Park, VA 20111
Phone (703) 365-0230

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 0401007652 VA Yes

Addresses

Primary practice location

9110 Railroad Drive
Suite 201
Manassas Park, VA 20111

Mailing address

9110 Railroad Drive
Suite 201
Manassas Park, VA 20111
Phone (703) 365-0230

Other identifiers

IdentifierTypeStateIssuer
0401007652OtherVADENTAL STATE LICENSE NUM

Other names

  • Railroad Dental Associates Doing business as

Other providers in Manassas Park, VA

All providers in Manassas Park, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.