Cementum LLC

General Practice Dentistry · Nacogdoches, TX

Organization Active NPI

NPI number 1811577455

Practice location

4704 NE Stallings Dr
Nacogdoches, TX 75965-1615
Phone
(936) 205-1706

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NPI record

NPI
1811577455
Entity type
Organization (Type 2)
Enumeration date
April 8, 2021
Last updated
May 27, 2025
Certified
May 27, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Authorized official

Name
Dr. Kelly Ann Bateman, DMD
Title
Owner/Dentist
Phone
(936) 205-1706

Other names

  • Bateman Dental
  • Bateman Dental

About Cementum LLC

Cementum LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4704 NE Stallings Dr, Nacogdoches, TX 75965-1615. The NPI number 1811577455 was assigned on April 8, 2021 and the record was last updated on May 27, 2025.

The authorized official for this organization is Dr. Kelly Ann Bateman, DMD, Owner/Dentist.

Frequently asked questions

What is the NPI number of Cementum LLC?

The NPI number is 1811577455.

What is the phone number of Cementum LLC?

The phone number listed for the practice location is (936) 205-1706.

Where is Cementum LLC located?

4704 NE Stallings Dr, Nacogdoches, TX 75965-1615.

What is the taxonomy code for Cementum LLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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