Dr. Philippe B Bautista
Pediatric Dentist
University Of Louisville School Of Dentistry 501 S. Preston St.
Louisville
, Kentucky 40292-0001
Dr. Philippe B Bautista
Pediatric Dentist
University Of Louisville School Of Dentistry 501 S. Preston St.
Louisville
, Kentucky 40292-0001
(502) 852-7163
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Philippe B Bautista
- University Of Louisville School Of Dentistry 501 S. Preston St.
- Louisville, KY
- Zip : 40292-0001
- Fax : (502) 852-7163
- Phone : (502) 852-5128
Second Address
- Dr. Philippe B Bautista
- University Of Louisville School Of Dentistry 501 S. Preston St.
- Louisville, KY
- Zip : 40292-0001
- Fax : (502) 852-7163
- Phone : (502) 852-5128
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 7875 | KY |
National Provider Identifier
| NPI | 1053423301 |
|---|---|
| Provider Name | Dr. Philippe B Bautista |
| First Address | Louisville, KY 40292-0001 |
| Second Address | Louisville, KY 40292-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 60002904 | (05) | KY |
| 9177122 | DORAL (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.