Healthcare Provider Details

I. General information

NPI: 1619463312
Provider Name (Legal Business Name): RAMNEEK K. BATTH DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 COFFEE RD
MODESTO CA
95355-4228
US

IV. Provider business mailing address

1130 COFFEE RD
MODESTO CA
95355-4228
US

V. Phone/Fax

Practice location:
  • Phone: 559-859-4334
  • Fax:
Mailing address:
  • Phone: 559-859-4334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number10386
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number104376
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: