Lance C. Bautista Dds, Inc.
Dentist (Pediatric Dentistry)

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 Identifier (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 Address 1213 Coffee Rd Ste E
Modesto
CA 95355-4229
Mailing Telephone 2095235437
Mailing Fax Number 2095235436
Authorized Official Name Lance C. Bautista (CEO, PRESIDENT)
Authorized Official Telephone 2095235437
Authorized Official Credential DDS
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-04-16
Last Update Date 2019-04-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1223P0221X Dentist · Pediatric Dentistry Dental Providers

Other Provider/Organization Names

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

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
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962034991 Dr. Page Hudson Dental Corporation Dentist 15650 Eureka Road, Suite 5, Roseville, CA 95661 2020-02-07
1679105605 Dr. Page Hudson Dental Corporation Dentist 1910 E. 20th Street, Chico, CA 95928 2020-02-07
1134751167 Dr. Page Hudson Dental Corporation Dentist 3600 Delta Fair Blvd, Antioch, CA 94509 2020-02-07
1659903656 Michael Vincent Laureola Dds Inc Dentist 1633 S Alameda St Ste 4134, Compton, CA 90220-4976 2020-02-07
1033741061 Dr. Page Hudson Dental Corporation Dentist 910 Admiral Callaghan Lane, Vallejo, CA 94591 2020-02-07
1750912333 Wendy Yang Dds Ms PC Dentist 12650 Sabre Springs Pkwy Ste 205, San Diego, CA 92128-4114 2020-01-31
1407487622 Lenise N. Yarber D.d.s, Professional Dental Corporation Dentist 5035 W Slauson Ave Ste G, Los Angeles, CA 90056-1647 2020-01-27
1255961611 Morvarid Aletomeh Dmd Inc Dentist 2833 Pacific Coast Hwy, Torrance, CA 90505-6701 2020-01-24
1174160501 Roya Mahmoodi Dds, Inc Dentist 1501 Bollinger Canyon Rd Ste B, San Ramon, CA 94583-1758 2019-12-04
1316584006 Catherine Chien Dds Inc Dentist 451 W Gonzales Rd Ste 300, Oxnard, CA 93036-9003 2019-12-02
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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
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
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
1043727514 Emily Lauren Schaefer Behavior 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
1366839755 Hillock Family Dental Inc. Dentist 1908 Coffee Rd. Bldg. 4, Modesto, CA 95355 2015-04-23
1306230248 Daniel James Davenport Physical Therapist 1917 Coffee Rd., Modesto, CA 95355 2015-03-27
1154729853 Jennifer Camacho Physical Therapist 2200 Coffee Rd., Greenbriar Apartment No. 10, Modesto, CA 95355 2014-12-11
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Competitor

Search similar providers

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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