Lance Bautista in Modesto - Pediatric Dentistry
Lance Bautista - NPI 1588704951
Lance Bautista is a Pediatric Dentistry in Modesto, California. Lance Bautista practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Lance Bautista is 1588704951. The last update date is 2007-07-08.
Lance Bautista's current location address is 1213 Coffee Rd, Modesto, California. You can contact this provider via phone number 2095235437 and fax number 2095235436. The mailing address for Lance Bautista is 1213 Coffee Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance Bautista |
|---|---|
| Address | 1213 Coffee Rd, Modesto, California |
| Phone Number | 2095235437 |
| Fax Number | 2095235436 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1588704951 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1213 Coffee Rd |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953554229 |
| Phone Number | 2095235437 |
| Fax Number | 2095235436 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 40138 |
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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. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Lance Bautista?
The Lance Bautista has been issued the NPI (National Provider Identifier) 1588704951 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lance Bautista?
The Lance Bautista is physically situated at 1213 Coffee Rd, in the city of Modesto, state of CA, with the postal code 953554229.
What is the Lance Bautista's area of specialization and corresponding taxonomy classification?
The Lance Bautista's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date was the 1588704951 assigned to Lance Bautista?
The Lance Bautista was issued its 1588704951 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Lance Bautista's information last updated?
The Lance Bautista's information was last updated on 2007-07-08.