Provider Demographics
NPI:1578307526
Name:MYERS, ISABELLA BATALLAS (BS, DMD, MBA)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:BATALLAS
Last Name:MYERS
Suffix:
Gender:F
Credentials:BS, DMD, MBA
Other - Prefix:
Other - First Name:ISABELLA
Other - Middle Name:SONIA
Other - Last Name:BATALLAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, DMD, MBA
Mailing Address - Street 1:421 HUMMINGBIRD TRL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-9321
Mailing Address - Country:US
Mailing Address - Phone:678-708-7532
Mailing Address - Fax:
Practice Address - Street 1:5780 C H JAMES PKWY STE 280
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-6076
Practice Address - Country:US
Practice Address - Phone:770-943-2525
Practice Address - Fax:770-943-2527
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN123448122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist