Provider Demographics
NPI:1437601895
Name:RICHARD W BATES DDS
Entity Type:Organization
Organization Name:RICHARD W BATES DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-526-0937
Mailing Address - Street 1:3610 BOULEVARD STE A
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-1329
Mailing Address - Country:US
Mailing Address - Phone:804-526-0937
Mailing Address - Fax:804-520-7582
Practice Address - Street 1:3610 BOULEVARD STE A
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-1329
Practice Address - Country:US
Practice Address - Phone:804-526-0937
Practice Address - Fax:804-520-7582
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIRGINIA DENTAL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty