Provider Demographics
NPI:1366591125
Name:BATLINER, TERRENCE SHEA (DDS, MBA)
Entity type:Individual
Prefix:
First Name:TERRENCE
Middle Name:SHEA
Last Name:BATLINER
Suffix:
Gender:M
Credentials:DDS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MAIL STOP F831, P.O. BOX 6508
Mailing Address - Street 2:UNIVERSITY OF COLORADO SCHOOL OF DENTISTRY
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:303-724-1037
Mailing Address - Fax:303-724-7109
Practice Address - Street 1:390 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4125
Practice Address - Country:US
Practice Address - Phone:303-333-6016
Practice Address - Fax:303-333-0779
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO55421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice