MEDICARE: DR. ADAM J BATTAGLIA DMD

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	D008221	AZ
2	122300000X	Dentist	2009018129	MO

General Provider Information

NPI Number	:	1720217136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM J BATTAGLIA DMD

Provider Business Mailing Address
First Line	:	2231 MICHIGAN AVE
Second Line	:
City	:	ARNOLD
State	:	MO
Zip	:	63010-2151
Country	:	US
Telephone Number	:	636-287-1226
Fax Number	:

Provider Business Practice Location Address
First Line	:	2231 MICHIGAN AVE
Second Line	:
City	:	ARNOLD
State	:	MO
Zip	:	63010-2151
Country	:	US
Telephone Number	:	636-287-1226
Fax Number	:

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

Provider Enumeration Date	:	07/07/2009
Last Update Date	:	11/11/2016

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