MEDICARE: MR. ROBERT S BATES DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	046156-1	NY
2	122300000X	Dentist	D5031602L	PA

General Provider Information

NPI Number	:	1609974328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT S BATES DDS

Provider Business Mailing Address
First Line	:	178 FALON LN
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-6541
Country	:	US
Telephone Number	:	814-300-0333
Fax Number	:	814-283-5580

Provider Business Practice Location Address
First Line	:	178 FALON LN
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-6541
Country	:	US
Telephone Number	:	814-300-0333
Fax Number	:	814-283-5580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	10/29/2025

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