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

Philippe Bautista DMD LLC

Organization Pediatric Dentistry · NPI 1417633348

Philippe Bautista DMD LLC is a Pediatric Dentistry in Jeffersonville, Indiana. Registered with an NPI since 2023.

In the registry since
2023
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

434 Patrol Rd Ste 210
Jeffersonville, IN 47130
Phone: (812) 582-7255
Fax: (812) 975-7255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1417633348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philippe Bautista — Owner · (502) 744-5442
Other names Pbj Kids Dentistry; Pbj Kids Dentistry
NPI enumeratedJune 26, 2023
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address434 Patrol Rd Suite 210, Jeffersonville, IN 47130

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