Healthcare Provider Details

I. General information

NPI: 1699707034
Provider Name (Legal Business Name): WILLIAM MAC BATCHELOR JR. DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 VILCOM CENTER DR STE 120
CHAPEL HILL NC
27514-1789
US

IV. Provider business mailing address

77 VILCOM CENTER DR STE 120
CHAPEL HILL NC
27514-1789
US

V. Phone/Fax

Practice location:
  • Phone: 192-389-9619
  • Fax: 252-237-2164
Mailing address:
  • Phone: 192-389-9619
  • Fax: 252-237-2164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number5068
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number05068
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: