Provider Demographics
NPI:1578778767
Name:BATTEL, CYNTHIA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:BATTEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 NORTHPORT AVE
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6004
Mailing Address - Country:US
Mailing Address - Phone:207-338-0273
Mailing Address - Fax:207-338-0275
Practice Address - Street 1:189 NORTHPORT AVE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6004
Practice Address - Country:US
Practice Address - Phone:207-338-0273
Practice Address - Fax:207-338-0275
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME33971223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME239230099Medicaid
MEBAMM4443Medicare ID - Type Unspecified
MEU34274Medicare UPIN