person
Dr. Philippe B Bautista, DMD
Pediatric Dentist in Jeffersonville, Indiana
NPI 1053423301

Philippe B Bautista is a Pediatric Dentist based in Jeffersonville, IN and is specialized in Pediatric Dentistry. Philippe B Bautista practices in Jeffersonville, IN and has the professional credentials of DMD. The NPI Number for Philippe B Bautista is 1053423301 and holds a License No. 12010902A (Indiana).

The current practice location address for Philippe B Bautista is 434 Patrol Rd Unit 210, Jeffersonville, IN and can be reached out via phone at 812-582-7255 and via fax at 812-975-7255. You can also correspond with Philippe B Bautista through the mailing address at 434 PATROL RD UNIT 210, JEFFERSONVILLE, IN - 47130-7718 (mailing address contact number: 812-582-7255).

Location: 434 Patrol Rd Unit 210, Jeffersonville, IN, 47130-7718
person
Provider Profile Details
NPI Number
1053423301
Provider Name
Philippe B Bautista
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
434 Patrol Rd Unit 210, Jeffersonville, IN, 47130-7718
Phone Number
812-582-7255
Fax Number
812-975-7255
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60002904 05 KY
9177122 01 KY DORAL
institution
Provider Business Practice Location Address Details
Address
434 Patrol Rd Unit 210
City
State
Zip
47130-7718
Phone Number
812-582-7255
Fax Number
812-975-7255
person
Provider Business Mailing Address Details
Address
434 Patrol Rd Unit 210
City
State
Zip
47130-7718
Phone Number
812-582-7255
Fax Number
812-975-7255
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
12010902A (Indiana)
Definition
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.
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