LANCE C. BAUTISTA DDS, INC.


Address: 1213 Coffee Rd Ste E, Modesto, CA 95355-4229
Phone: 2095235437

LANCE C. BAUTISTA DDS, INC. (NPI# 1730742701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730742701
Entity Type Organization
Organization Name LANCE C. BAUTISTA DDS, INC.
Practice Address 1213 Coffee Rd Ste E
Modesto
CA 95355-4229
Practice Telephone 2095235437
Practice Fax Number 2095235436
Mailing Telephone 2095235437
Mailing Fax Number 2095235436
Enumeration Date 2019-04-16
Last Update Date 2019-04-16
Authorized Official Name LANCE C. BAUTISTA (CEO, PRESIDENT)
Authorized Official Telephone 2095235437
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Dr. Lance C. Bautista Pediatric Dentistry Other Name - Individual/Organization

Office Location

Street Address 1213 COFFEE RD STE E
City MODESTO
State CA
Zip Code 95355-4229

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982211793 I To I LLC Optometrist 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 2020-09-25
1205443116 Altwal and Shelat Dds Inc Dentist 1317 Oakdale Road, Suite 310, Modesto, CA 95355 2020-09-24
1184255911 Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation Clinic/Center 3401 Oakdale Road, Suite 505, Modesto, CA 95355 2020-01-30
1487133856 Natalie Vargas Behavior Technician 1317 Oakdale Road Suite 610, Modesto, CA 95355 2018-08-07
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
1043727514 Emily Lauren Schaefer Behavioral Analyst 3425 Coffee Rd Ste C2, Modesto, CA 95355 2018-01-05
1376083691 Hari Gnanasekeram, PC Technician, Cardiology 1303 Mable Avenu, Modesto, CA 95355 2017-03-06
1598139891 Encompass Health Rehabilitation Hospital of Modesto, LLC Rehabilitation Hospital 1303 Mable Avenue, Modesto, CA 95355 2015-11-24
1013387844 Diana Faith Kigenyi Social Worker 1225 Oakdale Road, Modesto, CA 95355 2015-10-06
1437530672 Tzu Yi Wei Acupuncturist 2209 Coffee Road, Suite A, Modesto, CA 95355 2015-06-12
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396360384 Drs Salem and Soliman Dental Corp Dentist 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 2020-06-15
1861689408 Ramin Maher Dentist 3219 Mchenry Ave Ste C, Modesto, CA 95350-1457 2007-09-27
1093847121 Andrew Phillip Soderstrom Dentist 1605 Timothy Ave, Suite B, Modesto, CA 95350-4419 2007-03-12
1669563607 Natalie A. Lenser Dentist 3109 Coffee Rd Ste B, Modesto, CA 95355-1733 2006-09-27
1316948870 Robert J. Venn IIi Dentist 4213 Dale Rd, B6, Modesto, CA 95356-8505 2005-08-09
1063890689 Behrouz Sami, Dmd, Inc Dentist 556 Lyell Dr, Modesto, CA 95356-8970 2015-05-14
1578706636 Behrouz Sami Daryani Dentist 556 Lyell Dr, Modesto, CA 95356-8970 2009-04-19
1588704951 Lance Bautista Dentist 1213 Coffee Rd, Modesto, CA 95355-4229 2007-02-07
1891801502 David Gene Bauman Dentist 1213 Coffee Rd, Suite G, Modesto, CA 95355-4229 2006-08-23
1457466807 Christopher Dean Anderson Dentist 1213 Coffee Rd, Suite G, Modesto, CA 95355-4229 2006-08-19
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Competitor

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City MODESTO
Zip Code 95355

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Dataset Information

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.

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