Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306250642 Individual Practitioner Male Practitioner

Dr. Jeffrey Max Batesole , DDS

Dentist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Batesole, DDS is a registered healthcare professional specializing in Dentist in Fort Wayne, IN. Practice services are available at 9121 ILLINOIS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9121 Illinois Rd

Fort Wayne, IN 468045753

Telephone 2602418454
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
103 Specialists

Practicing in Fort Wayne, IN (1682 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D10220

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IN 12012144A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Ashley Knapke , DMD

Dentist - General Practice

NPI 1255957585

Doctor of Dental Medicine

NPI 1730619479

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 19, 2018

Registered at 9121 ILLINOIS RD, FORT WAYNE, IN 468045753 (Tel: 2602418454)

📍
Updated Business Mailing Address April 19, 2018

Registered at 9121 ILLINOIS RD, FORT WAYNE, IN 468045753 (Tel: 2602418454)

NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2016

Registered at 1800 VALLERY RIVER DRIVE #200, EUGENE, OR 97401 (Tel: 5416000204)

📍
Updated Business Mailing Address June 13, 2016

Registered at 1800 VALLERY RIVER DRIVE #200, EUGENE, OR 97401 (Tel: 5416000204)

👤
Provider Name / Credentials Updated June 13, 2016

Recorded as JEFFREY BATESOLE, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Dentist (License #D10220 in OR)

🟢
Initial NPI Registration & Enumeration June 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306250642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2014
Last Update: April 19, 2018
Sole Proprietor: No

Mailing Address

9121 Illinois Rd

Fort Wayne, IN 468045753

Phone: 2602418454

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.