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Cementum LLC

General Practice Dentistry in Nacogdoches, TX · enumerated 2021 · authorized official Kelly Bateman, Owner/Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811577455

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Registry record

Entity type Organization (Type 2)
Legal business name Cementum LLC
Other name <Unavail>
Practice address 4704 Ne Stallings Dr, Nacogdoches, TX, 75965
Enumeration date Apr 8, 2021
Last updated in NPPES May 27, 2025

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Kelly Bateman
Title Owner/Dentist

Other identifiers

Identifier Type State Issuer
1801104427 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-27. Verify at npiregistry.cms.hhs.gov.
Where is Cementum LLC located?
The practice location on file with NPPES is in Nacogdoches, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-27.