Provider Demographics
NPI:1255377578
Name:BATEMAN, JOSHUA MERRILL (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MERRILL
Last Name:BATEMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-1630
Mailing Address - Country:US
Mailing Address - Phone:801-756-5019
Mailing Address - Fax:
Practice Address - Street 1:218 N CENTER ST
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-1630
Practice Address - Country:US
Practice Address - Phone:801-756-5019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5905236122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist