Provider Demographics
NPI:1679694319
Name:WILLIAM S. BATE, D.M.D.,A.P.C.
Entity Type:Organization
Organization Name:WILLIAM S. BATE, D.M.D.,A.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SANTFORD
Authorized Official - Last Name:BATE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:858-673-0737
Mailing Address - Street 1:11777 BERNARDO PLAZA COURT
Mailing Address - Street 2:SUITE #207
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2451
Mailing Address - Country:US
Mailing Address - Phone:858-673-0737
Mailing Address - Fax:858-673-9614
Practice Address - Street 1:11777 BERNARDO PLAZA CT
Practice Address - Street 2:SUITE # 207
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2405
Practice Address - Country:US
Practice Address - Phone:858-673-0737
Practice Address - Fax:858-673-9614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38035261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical