Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIPPE B BAUTISTA, DMD
Active Sole ProprietorDR. PHILIPPE B BAUTISTA, DMD is a Pediatric Dentistry healthcare provider located in JEFFERSONVILLE, Indiana. NPI 1053423301 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · JEFFERSONVILLE, IN
Registration Details
- NPI Number
- 1053423301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.918681053749 yrs)
- Last Updated
- Dec 6, 2023
- Licenses
-
12010902A (IN)7875 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
434 PATROL RD UNIT 210JEFFERSONVILLE, IN, 471307718Browse IN providers · Browse ZIP 47130
- Phone
- 8125827255
- Fax
- 8129757255
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in JEFFERSONVILLE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL ERIC KORNBLATT | D.D.S. | 1922442243 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.