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MIGUEL ISMAEL BUSTAMANTE DDS
NPI 1194160341
Dentist - General Practice in Bolinas, CA

Active since May 01, 2013
24 WHARF ROAD, BOLINAS, CA 94924(415) 868-0911(415) 868-2324 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miguel Ismael Bustamante Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIGUEL ISMAEL BUSTAMANTE DDS (NPI 1194160341) is an individual general practice provider in Bolinas, California, licensed in California (034821) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1194160341
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMIGUEL ISMAEL BUSTAMANTECredential: DDS
Location Address24 WHARF ROADBolinas, CA 94924
Mailing AddressPo Box 975Bolinas, CA 94924-0975 · (415) 868-0911 · Fax (415) 868-2324
Phone(415) 868-0911
Fax(415) 868-2324
Sole ProprietorYes
Enumeration DateMay 1, 2013
✔ NPI 1194160341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 034821
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
24 WHARF ROAD, Bolinas, CA 94924
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miguel Bustamante's NPI number?

The NPI number for Miguel Bustamante is 1194160341. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Miguel Bustamante located?

Miguel Bustamante practices at 24 Wharf Road, Bolinas, CA 94924. The listed phone number is (415) 868-0911.

What is Miguel Bustamante's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Miguel Bustamante was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.