Provider Demographics
NPI:1225117757
Name:BATISTA, LINDA (DMD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:BATISTA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1262 WOOD LANE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047
Mailing Address - Country:US
Mailing Address - Phone:215-702-7274
Mailing Address - Fax:215-702-0815
Practice Address - Street 1:1262 WOOD LANE
Practice Address - Street 2:SUITE 202
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-702-7274
Practice Address - Fax:215-702-0815
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035224122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist