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

Dr. Philippe B Bautista, DMD

Individual provider Pediatric Dentistry · NPI 1053423301

Dr. Philippe B Bautista, DMD is a Pediatric Dentistry in Jeffersonville, Indiana. Practices as a sole proprietor. Licensed in Indiana and Kentucky.

Licensed in
IN, KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

434 Patrol Rd Unit 210
Jeffersonville, IN 47130-7718
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 · Licence 12010902A (IN)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 7875 (KY)

Record details

NPI number1053423301
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address434 Patrol Rd Unit 210, Jeffersonville, IN 47130-7718

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