CEMENTUM LLC
NPI 1811577455
Dentist - General Practice in Nacogdoches, TX

Q: What is Cementum LLC's NPI number?

The NPI number for Cementum LLC is 1811577455. It was assigned to this organization in the NPPES registry on April 8, 2021. The provider is doing business as Bateman Dental.

Q: What is Cementum LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Cementum LLC was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since April 08, 2021

4704 NE STALLINGS DR, NACOGDOCHES, TX 75965(936) 205-1706 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Apr 8, 2021 (2 updates tracked since 2021).

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About Cementum Llc NPPES

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

CEMENTUM LLC (NPI 1811577455), doing business as Bateman Dental, is a healthcare organization registered as a general practice in Nacogdoches, Texas and active in the NPI registry since April 2021. The organization lists Kelly Ann Bateman, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1811577455

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCEMENTUM LLC

Location Address4704 NE STALLINGS DRNacogdoches, TX 75965-1615

Mailing Address4704 Ne Stallings DrNacogdoches, TX 75965-1615 · (936) 205-1706

Phone(936) 205-1706

Organization SubpartNo

Authorized OfficialKelly Ann BatemanOwner/dentist · (936) 205-1706

Enumeration DateApril 8, 2021

Last NPPES UpdateMay 27, 20252 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1811577455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4704 NE STALLINGS DR, Nacogdoches, TX 75965

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Other Names 1

Doing Business AsBateman Dental

Other Identifiers 1

Medicaid1801104427TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Cementum LLC's NPI number?

The NPI number for Cementum LLC is 1811577455. It was assigned to this organization in the NPPES registry on April 8, 2021. The provider is doing business as Bateman Dental.

Where is Cementum LLC located?

Cementum LLC is located at 4704 NE Stallings Dr, Nacogdoches, TX 75965. The listed phone number is (936) 205-1706.

What is Cementum LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Cementum LLC was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.