Provider Demographics
NPI:1902030240
Name:BATCHELOR, CAITLIN STANGEL (DDS)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:STANGEL
Last Name:BATCHELOR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:BROOKS
Other - Last Name:STANGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1920 MEDICAL AVE
Mailing Address - Street 2:SUITE J
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8016
Mailing Address - Country:US
Mailing Address - Phone:703-898-1180
Mailing Address - Fax:
Practice Address - Street 1:1920 MEDICAL AVE
Practice Address - Street 2:SUITE J
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8016
Practice Address - Country:US
Practice Address - Phone:703-898-1180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014124741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice