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DR. JEFFREY MAX BATESOLE D.D.S
NPI 1306250642
Dentist in Fort Wayne, IN

Active since June 15, 2014
9121 ILLINOIS RD, FORT WAYNE, IN 46804(260) 241-8454 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2018, Jun 13, 2016 (2 updates tracked since 2016).

About Dr. Jeffrey Max Batesole D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY MAX BATESOLE D.D.S (NPI 1306250642) is an individual dentist in Fort Wayne, Indiana, licensed in Oregon (D10220) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1306250642
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEFFREY MAX BATESOLECredential: D.D.S
Location Address9121 ILLINOIS RDFort Wayne, IN 46804-5753
Mailing Address9121 Illinois RdFort Wayne, IN 46804-5753 · (260) 241-8454
Phone(260) 241-8454
Sole ProprietorNo
Enumeration DateJune 15, 2014
Last NPPES UpdateApril 19, 20182 updates tracked since enumeration
✔ NPI 1306250642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D10220
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 12012144A (IN)
9121 ILLINOIS RD, Fort Wayne, IN 46804
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ASHLEY RENEE GABREK KNAPKE DMD
Dentist (General Practice)
9121 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 434-0099
AARON LIGHT DDS
Dentist
9121 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 434-0099
TMJ & SLEEP THERAPY CENTRE OF FORT WAYNE, LLC
Dentist
9121 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 434-0099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Batesole's NPI number?

The NPI number for Jeffrey Batesole is 1306250642. It was assigned to this individual provider in the NPPES registry on June 15, 2014.

Where is Jeffrey Batesole located?

Jeffrey Batesole practices at 9121 Illinois Rd, Fort Wayne, IN 46804. The listed phone number is (260) 241-8454.

What is Jeffrey Batesole's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Batesole was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.