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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.

Location: 434 Patrol Rd Unit 210, Jeffersonville, IN, 47130-7718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Jeffersonville
State
Indiana
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
Jeffersonville
State
Indiana
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
1223P0221X
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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