GREGORIO WAYNE BAUTISTA (NPI# 1699950329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699950329 |
| Entity Type | Individual |
| Full Name | GREGORIO WAYNE BAUTISTA |
| Other Name | G WAYNE BAUTISTA |
| Credential | DMD |
| Practice Address |
909 E Oak St Ste A Kissimmee FL 34744 |
| Mailing Address |
4719 Legacy Oaks Dr Orlando FL 32839-2067 |
| Practice Telephone | 4078472103 |
| Practice Fax Number | 4078475042 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN13033 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEA | BB3721063 | 01 |
| FL | 017646700 | 05 |
| Street Address |
909 E OAK ST STE A |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326223058 | Dorothy A Thomsen | Dentist | 909 E Oak St Ste A, Kissimmee, FL 34744-5840 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1871126722 | Orlando Therapy Services LLC | Speech-Language Pathologist | 2815 Flamvoyan Street, Kissimmee, FL 34744 | 2020-02-19 |
| 1083197941 | Marilyn Mendez | Behavior Technician | 678 Cornestone Dr, Kissimmee, FL 34744 | 2018-09-07 |
| 1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
| 1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
| 1831698661 | Ramirez and Poulos M.d. P.a. | Ophthalmology | 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 | 2018-02-07 |
| 1548702517 | Laura L Wheeler | Counselor | 600 N Thacker, D63, Kissimmee, FL 34744 | 2016-11-08 |
| 1275992950 | Judith Ambrose | Case Management | 1320 N Main Street, Suite B, Saint Cloud, FL 34744 | 2016-02-23 |
| 1043685258 | Oreida Hernandez De Morissette | Case Management | 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 | 2015-12-14 |
| 1780062232 | Martin Alfredo Rosell | Hearing Instrument Specialist | 806 N Main Street, Kissimmee, FL 34744 | 2015-05-15 |
| Find all providers in zip 34744 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003476623 | Vera Ton | Dentist | 312 W Bass St, Kissimmee, FL 34741-5001 | 2019-06-17 |
| 1366001471 | Ata Dental Kissimmee LLC | Dentist | 3192 S John Young Pkwy Ste B, Kissimmee, FL 34746-8814 | 2019-06-12 |
| 1891352159 | Sherin Thamarasseril | Dentist | 2310 E Irlo Bronson Memorial Hwy Ste C-106, Kissimmee, FL 34744-5401 | 2019-05-22 |
| 1427407634 | Ryan Priemer | Dentist | 1050 Buenaventura Blvd, Kissimmee, FL 34743-7865 | 2016-06-08 |
| 1861866782 | Margarita N Romero Quevedo | Dentist | 5043 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-5345 | 2015-11-16 |
| 1275918005 | Charles H Burnes Iv | Dentist | 3304 Greenwald Way N, Kissimmee, FL 34741-0768 | 2015-07-22 |
| 1780958355 | Dr. Suraiya A.kasu Bds Pa | Dentist | 801 W Oak St Ste 102, Kissimmee, FL 34741-6605 | 2012-02-29 |
| 1811281710 | Juliana Correal | Dentist | 3233 S John Young Pkwy, Kissimmee, FL 34746-6543 | 2011-06-08 |
| 1962712182 | Economy Dentures of Kissimmee | Dentist | 1319 E Osceola Pkwy, C, Kissimmee, FL 34744-1605 | 2010-10-21 |
| 1790933554 | Sigma Dental of Kissimmee, LLC | Dentist | 2102 E Osceola Pkwy, Suites 2102-2104, Kissimmee, FL 34743-8630 | 2008-09-05 |
| Find all providers in KISSIMMEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.