IndividualActive
Vincen Bateman
NPI 1558048801 · General Practice Dentistry · Anthem, AZ
Provider details
- NPI number
- 1558048801
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- D011800 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
42104 N Venture Dr Unit 103
Anthem, AZ 85086-3823
Phone: (480) 561-5693
Street-level locationGet directions
Mailing address
2054 Balboa Dr
Idaho Falls, ID 83404-6457
Additional practice locations (2)
- 595 N Dobson Rd # B40Chandler, AZ 85224-4226Phone: (480) 786-9030
- 3550 Washington PkwyIdaho Falls, ID 83404-4968Phone: (208) 524-2300
Registry dates
- Enumerated
- 2023-06-29
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.