Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr Damaris Bastian Gen Dent LLC

Organization Dentist · NPI 1609089002

Dr Damaris Bastian Gen Dent LLC is a Dentist in Fayetteville, Georgia. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Devant St Ste 404
Fayetteville, GA 30214-2713
Phone: (678) 884-5352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5087 (LA)

Record details

NPI number1609089002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Damaris Bastian — Owner · (678) 884-5352
NPI enumeratedMay 8, 2007
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing address101 Devant St Ste 404, Fayetteville, GA 30214-2713

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