Philippe B Bautista in Jeffersonville - Pediatric Dentistry

Philippe B Bautista - NPI 1053423301

Philippe B Bautista is a Pediatric Dentistry in Jeffersonville, Indiana. Philippe B Bautista practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Philippe B Bautista is 1053423301. The last update date is 2023-12-06.

Philippe B Bautista's current location address is 434 Patrol Rd Unit 210, Jeffersonville, Indiana. You can contact this provider via phone number 8125827255 and fax number 8129757255. The mailing address for Philippe B Bautista is 434 Patrol Rd Unit 210, Jeffersonville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Philippe B Bautista
Address 434 Patrol Rd Unit 210, Jeffersonville, Indiana
Phone Number 8125827255
Fax Number 8129757255
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1053423301
Provider Enumeration Date 2006-08-31
Last Updated Date 2023-12-06

Provider Mailing Address Detail

Address 434 Patrol Rd Unit 210
City Jeffersonville
State Indiana (IN)
Post Code 471307718
Phone Number 8125827255
Fax Number 8129757255

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 12010902A
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60002904 KY --
9177122 KY DORAL

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FAQs about Philippe B Bautista

What is the unique 10-digit identification code issued to Philippe B Bautista by the Centers for Medicare & Medicaid Services?

The Philippe B Bautista has been assigned the NPI (National Provider Identifier) 1053423301 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Philippe B Bautista?

The Philippe B Bautista is situated at 434 Patrol Rd Unit 210, in the city of Jeffersonville, state of IN, with the zip code 471307718.

Could you please share the complete physical address where Philippe B Bautista is geographically located?

The Philippe B Bautista is physically situated at the following location: 434 Patrol Rd Unit 210, Jeffersonville, IN, 471307718.

What is Philippe B Bautista's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Philippe B Bautista is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

When was the information regarding Philippe B Bautista, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Philippe B Bautista, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-12-06.

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