Provider Demographics
NPI:1053813873
Name:BATRES NAVARRO, ANGELIKA ESTEFANIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELIKA
Middle Name:ESTEFANIA
Last Name:BATRES NAVARRO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 E 66TH ST APT 15
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6286
Mailing Address - Country:US
Mailing Address - Phone:305-582-8250
Mailing Address - Fax:
Practice Address - Street 1:6134 WHITE HORSE RD STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611
Practice Address - Country:US
Practice Address - Phone:305-582-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-07
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9234122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY390200000XMedicaid