Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAMARIS DERECE BASTIAN, D.D.S.
ActiveDR. DAMARIS DERECE BASTIAN, D.D.S. is a General Dentistry healthcare provider located in FAYETTEVILLE, Georgia. NPI 1518218353 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1518218353
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2012 (13.916514399974 yrs)
- Last Updated
- Nov 8, 2021
- Licenses
-
DN015482 (GA)5087 (LA)
Practice Information
- Address
-
101 DEVANT ST STE 404FAYETTEVILLE, GA, 302142713Browse GA providers · Browse ZIP 30214
- Phone
- 6788845352
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. PETER EDWARD HARRIS | DMD | 1922005404 |
| DR. RAMIN RAHNEMA-TABATABAI | DDS | 1851369102 |
| DR. KIMBERLY BROWN | DMD | 1720022304 |
| J. RENA OWSLEY-BROWN | DMD | 1144254004 |
| DR. THOMAS CHENEY WILLIAMS | D.M.D. | 1851311534 |
| DR. RICK JAMES VERDIN | D.D.S | 1659391795 |
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.