Provider Demographics
NPI:1457566903
Name:T JAMES BATISTAS DDS PLLC
Entity Type:Organization
Organization Name:T JAMES BATISTAS DDS PLLC
Other - Org Name:RAILROAD DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THEOFANIY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BATISTAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-365-0230
Mailing Address - Street 1:9110 RAILROAD DRIVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MANASSAS PARK
Mailing Address - State:VA
Mailing Address - Zip Code:20111
Mailing Address - Country:US
Mailing Address - Phone:703-365-0230
Mailing Address - Fax:703-365-0234
Practice Address - Street 1:9110 RAILROAD DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:MANASSAS PARK
Practice Address - State:VA
Practice Address - Zip Code:20111
Practice Address - Country:US
Practice Address - Phone:703-365-0230
Practice Address - Fax:703-365-0234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010076521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0401007652OtherDENTAL STATE LICENSE NUM