Provider Demographics
NPI:1740536663
Name:BATES, SHELDON ANTHONY (DMD, MSD)
Entity type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:ANTHONY
Last Name:BATES
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Gender:M
Credentials:DMD, MSD
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Mailing Address - Street 1:3800 STILLMAN PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1455
Mailing Address - Country:US
Mailing Address - Phone:804-934-9292
Mailing Address - Fax:804-934-9290
Practice Address - Street 1:3800 STILLMAN PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-1455
Practice Address - Country:US
Practice Address - Phone:804-934-9292
Practice Address - Fax:804-934-9290
Is Sole Proprietor?:No
Enumeration Date:2012-07-29
Last Update Date:2020-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA04014134951223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics