Provider Demographics
NPI:1336444124
Name:BATEMAN, DEVIN KEITH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:KEITH
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 1:5616 WOLFPEN PLEASANT HILL RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-9258
Mailing Address - Country:US
Mailing Address - Phone:513-248-0565
Mailing Address - Fax:
Practice Address - Street 1:5616 WOLFPEN PLEASANT HILL RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-9258
Practice Address - Country:US
Practice Address - Phone:513-248-0565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.023370122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist