Provider Demographics
NPI:1265476873
Name:BATKO, ANTHONY M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:M
Last Name:BATKO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 DECKERTOWN TPKE
Mailing Address - Street 2:
Mailing Address - City:MONTAGUE
Mailing Address - State:NJ
Mailing Address - Zip Code:07827-3136
Mailing Address - Country:US
Mailing Address - Phone:973-293-7844
Mailing Address - Fax:
Practice Address - Street 1:ROUTE 208, BOX G
Practice Address - Street 2:WALLKIL CORRECTIONAL FACILITY DENTAL DEPT.
Practice Address - City:WALLKILL
Practice Address - State:NY
Practice Address - Zip Code:12589-0286
Practice Address - Country:US
Practice Address - Phone:845-895-2021
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034868-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist