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

Individual provider General Practice Dentistry · NPI 1568656080

Dr. Maximilian Magala Bautista, DDS is a General Practice Dentistry in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

2664 Berryessa Rd Ste 201
San Jose, CA 95132-2925
Phone: (408) 272-2330
Fax: (408) 272-2665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 45822 (CA)

Record details

NPI number1568656080
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 28, 2007
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

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