Provider Demographics
NPI:1336545078
Name:W. JEFFREY BATTLES, D.M.D., P.C.
Entity Type:Organization
Organization Name:W. JEFFREY BATTLES, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:W. JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTLES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:706-226-3230
Mailing Address - Street 1:1206 W WAUGH ST
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8771
Mailing Address - Country:US
Mailing Address - Phone:706-226-3230
Mailing Address - Fax:
Practice Address - Street 1:1206 W WAUGH ST
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8771
Practice Address - Country:US
Practice Address - Phone:706-226-3230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental