Provider Demographics
NPI:1134699093
Name:B DENTAL
Entity Type:Organization
Organization Name:B DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIEGO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARATELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:352-641-0633
Mailing Address - Street 1:1601 NE 14TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-4635
Mailing Address - Country:US
Mailing Address - Phone:352-641-0633
Mailing Address - Fax:352-877-9656
Practice Address - Street 1:1601 NE 14TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-4635
Practice Address - Country:US
Practice Address - Phone:352-641-0633
Practice Address - Fax:352-877-9656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty