Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558048801 Individual Practitioner Male Practitioner

Vincen Bateman

Dentist - General Practice • Anthem, AZ

Professional Overview & Biography Verified Profile Summary

Vincen Bateman is a registered healthcare professional specializing in Dentist - General Practice in Anthem, AZ. Practice services are available at 42104 N VENTURE DR UNIT 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

42104 N Venture Dr Unit 103

Anthem, AZ 850863823

Telephone 4805615693
Associated Practice Facility / Clinic
🏢 Diamond Dental, Llc Facility NPI 1154290468

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Anthem, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Anthem, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D011800

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.

Secondary Practice Locations

3550 Washington Pkwy

Idaho Falls, ID 834044968

Phone: 2085242300

595 N Dobson Rd # B40

Chandler, AZ 852244226

Phone: 4807869030

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 04, 2025

Registered at 42104 N VENTURE DR UNIT 103, ANTHEM, AZ 850863823 (Tel: 4805615693)

📍
Updated Practice Location May 08, 2024

Registered at 595 N DOBSON RD # B40, CHANDLER, AZ 852244226 (Tel: 4807869030)

NPI Profile Active June 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2023

Registered at 3550 WASHINGTON PKWY, IDAHO FALLS, ID 834044968 (Tel: 2085242300)

📍
Updated Business Mailing Address June 29, 2023

Registered at 2054 BALBOA DR, IDAHO FALLS, ID 834046457 (Tel: 2086804203)

👤
Provider Name / Credentials Updated June 29, 2023

Recorded as VINCEN BATEMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2023

Dentist (License #D011800 in AZ)

🟢
Initial NPI Registration & Enumeration June 29, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Vincen Bateman. Be the first to share your experience!

Sign in to leave a review for Vincen Bateman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1558048801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2023
Last Update: November 04, 2025
Sole Proprietor: Yes

Mailing Address

2054 Balboa Dr

Idaho Falls, ID 834046457

Phone: 2086804203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.