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

Nicholas Bautista, DMD

Individual provider General Practice Dentistry · NPI 1114605482

Nicholas Bautista, DMD is a General Practice Dentistry in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2023.

Licensed in
SC
In the registry since
2023
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

4500 8th Division Rd
Columbia, SC 29207-5700
Phone: (803) 751-2160
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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 11318 (SC)

Record details

NPI number1114605482
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESJanuary 11, 2026
Certification dateJanuary 11, 2026

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