Provider Demographics
NPI:1437885357
Name:BATTLE, ANNA ELIZABETH (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:ELIZABETH
Last Name:BATTLE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:ELIZABETH
Other - Last Name:FORCEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8150 MOORSBRIDGE RD STE A
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-7419
Mailing Address - Country:US
Mailing Address - Phone:269-743-4370
Mailing Address - Fax:
Practice Address - Street 1:8150 MOORSBRIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-7419
Practice Address - Country:US
Practice Address - Phone:269-743-4370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29016013291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice