Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeffrey Max Batesole, DDS

Individual provider General Practice Dentistry · NPI 1306250642

Dr. Jeffrey Max Batesole, DDS is a General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana and Oregon. Registered with an NPI since 2014.

Licensed in
IN, OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

9121 Illinois Rd
Fort Wayne, IN 46804-5753
Phone: (260) 241-8454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D10220 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12012144A (IN)

Record details

NPI number1306250642
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 15, 2014
Last updated in NPPESApril 19, 2018
Mailing address9121 Illinois Rd, Fort Wayne, IN 46804-5753

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