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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215469564

Dr. Jason Alexander Bastida, DDS is a Student in an Organized Health Care Education/Training Program in Elmhurst, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
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.

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Practice location Address checks out

4014 82nd St
Elmhurst, NY 11373-1305
Phone: (718) 397-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 114a Greenpoint Ave, Brooklyn, NY 11222-2202 — (347) 382-6814

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 059967 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215469564
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address114a Greenpoint Ave, Brooklyn, NY 11222-2202

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