DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS BAUTISTA, DMD

Active

NICHOLAS BAUTISTA, DMD is a General Dentistry healthcare provider located in COLUMBIA, South Carolina. NPI 1114605482 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · COLUMBIA, SC

Registration Details

NPI Number
1114605482
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2023 (3.0793863198144 yrs)
Last Updated
Jan 11, 2026
License
11318 (SC)

Practice Information

Address
4500 8TH DIVISION RD
COLUMBIA, SC, 292075700
Browse SC providers · Browse ZIP 29207
Phone
8037512160
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in COLUMBIA, SC

Name Credential NPI
DR. PAUL R MACO D.D.S. 1689679706
DR. WILLIAM LYNN CAMPBELL DMD 1184629842
DR. KYONG HI KIM DDS 1184608226
DR. WILLIAM SAMUEL JOHNSON DMD 1548244197
DR. MICHAEL S SMITH DDS 1093793275
DR. JOHN P KLEITCHES D.M.D. 1245200245
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.