Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAIRO BASTIDAS, DMD
Active Sole ProprietorDR. JAIRO BASTIDAS, DMD is a Oral & Maxillofacial Surgery healthcare provider located in BRONX, New York. NPI 1780763300 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · BRONX, NY
Registration Details
- NPI Number
- 1780763300
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2006 (19.806722739121 yrs)
- Last Updated
- Jul 8, 2007
- License
-
041328 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 E 210TH STBRONX, NY, 104672401Browse NY providers · Browse ZIP 10467
- Phone
- 7189204167
- Fax
- 7185155419
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in BRONX, NY
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL GATES | DDS | 1033115506 |
| DR. MARC D BROWN | DDS | 1396741328 |
| BARTLEY R. LABINER | DDS | 1780684373 |
| DR. DWIGHT WILLIAMS | D.D.S | 1679563761 |
| PETHAN TIN | DDS | 1669428041 |
| DR. MARLON K MOORE | DMD | 1467563262 |
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.