Individual provider · Type 1 NPI
Philippe B. Bautista, DMD
Pediatric Dentistry · Jeffersonville, IN
NPI number
1053423301
Active
Practice location
434 Patrol Rd Unit 210
Jeffersonville, IN 47130-7718
Fax (812) 975-7255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 12010902A (IN) |
| Pediatric Dentistry | 1223P0221X | 7875 (KY) |
Pediatric Dentistry: 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.
Other pediatric dentistry providers in Jeffersonville
About NPI 1053423301
Philippe B. Bautista, DMD's National Provider Identifier is 1053423301, issued on Aug 31, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jeffersonville, IN. The record was last updated on Dec 6, 2023.