Jimmy David Bates, DDS
Individual provider Active NPI General Practice Dentistry · Marshall, TX
NPI 1699888685 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699888685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- TX8251 (TX)
- Practice address
- 304 University Ave
Suite 101
Marshall, TX 75670-5210 - Phone
- (903) 938-5591
- Fax
- (903) 938-1481
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX8251 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | TX8251 | TX | Yes |
Addresses
Primary practice location
304 University Ave
Suite 101
Marshall, TX 75670-5210
Mailing address
304 University Ave
Suite 101
Marshall, TX 75670-5210
Phone (903) 938-5591
Other providers in Marshall, TX
- Jennifer Elizabeth Baldwin
- Kimberly Barbolla
- Erin D Barnett
- Alexander Barroga
- Brian Bates
- Latonya Deona Bates
- Rebecca Dawn Bates
- Angelica C Belo
- Katie Bennett
- Ursula Candy Betancourt
All providers in Marshall, TX · General Practice Dentistry in Texas
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.