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

Dr. Damaris Derece Bastian, DDS

Individual provider General Practice Dentistry · NPI 1518218353

Dr. Damaris Derece Bastian, DDS is a General Practice Dentistry in Fayetteville, Georgia. Licensed in Georgia and Louisiana. Registered with an NPI since 2012.

Licensed in
GA, LA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

101 Devant St Ste 404
Fayetteville, GA 30214-2713
Phone: (678) 884-5352
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN015482 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5087 (LA)

Record details

NPI number1518218353
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 19, 2012
Last updated in NPPESNovember 8, 2021
Certification dateNovember 1, 2021

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