Provider Demographics
NPI:1831310101
Name:BATTA, MANMOHAN (BDS, MDS, MS)
Entity type:Individual
Prefix:DR
First Name:MANMOHAN
Middle Name:
Last Name:BATTA
Suffix:
Gender:M
Credentials:BDS, MDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 TOWN CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6192
Mailing Address - Country:US
Mailing Address - Phone:407-856-0208
Mailing Address - Fax:407-856-8113
Practice Address - Street 1:4250 TOWN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6192
Practice Address - Country:US
Practice Address - Phone:407-856-0208
Practice Address - Fax:407-856-8113
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00108771223G0001X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223G0001XDental ProvidersDentistGeneral Practice
Not Answered1223P0700XDental ProvidersDentistProsthodontics