Provider Demographics
NPI:1649503913
Name:BATES DENTAL CARE LTD
Entity type:Organization
Organization Name:BATES DENTAL CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:651-636-2373
Mailing Address - Street 1:2575 HAMLINE AVE N
Mailing Address - Street 2:SUITE F
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-3175
Mailing Address - Country:US
Mailing Address - Phone:651-636-2373
Mailing Address - Fax:651-636-2374
Practice Address - Street 1:2575 HAMLINE AVE N
Practice Address - Street 2:SUITE F
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-3175
Practice Address - Country:US
Practice Address - Phone:651-636-2373
Practice Address - Fax:651-636-2374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty