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NPI Code Detail

MEDICARE: TERRENCE SHEA BATLINER DDS, MBA

MEDICARE: TERRENCE SHEA BATLINER DDS, MBA
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
11223G0001XGeneral Practice Dentistry5542CO

General Provider Information

NPI Number : 1366591125
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRENCE SHEA BATLINER DDS, MBA
Provider Business Mailing Address
First Line : MAIL STOP F831, P.O. BOX 6508
Second Line : UNIVERSITY OF COLORADO SCHOOL OF DENTISTRY
City : AURORA
State : CO
Zip : 80045
Country : US
Telephone Number : 303-724-1037
Fax Number : 303-724-7109
Provider Business Practice Location Address
First Line : 390 UNIVERSITY BLVD
Second Line :
City : DENVER
State : CO
Zip : 80206-4125
Country : US
Telephone Number : 303-333-6016
Fax Number : 303-333-0779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 07/08/2007

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