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PBJ KIDS DENTISTRY
NPI 1417633348
Dentist - Pediatric Dentistry in Jeffersonville, IN

Active since June 26, 2023
434 PATROL RD SUITE 210, JEFFERSONVILLE, IN 47130(812) 582-7255(812) 975-7255 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pbj Kids Dentistry NPPES

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

PBJ KIDS DENTISTRY (NPI 1417633348) is a healthcare organization registered as a pediatric dentistry in Jeffersonville, Indiana and active in the NPI registry since June 2023. The organization lists Philippe B Bautista, Owner, as its authorized official.

NPPES Registry Identity

NPI1417633348
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePHILIPPE BAUTISTA DMD LLC
Location Address434 PATROL RD SUITE 210Jeffersonville, IN 47130
Mailing Address434 Patrol Rd Suite 210Jeffersonville, IN 47130 · (812) 582-7255
Phone(812) 582-7255
Fax(812) 975-7255
Organization SubpartNo
Authorized OfficialPhilippe B BautistaOwner · (502) 744-5442
Enumeration DateJune 26, 2023
Last NPPES UpdateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
✔ NPI 1417633348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
434 PATROL RD SUITE 210, Jeffersonville, IN 47130
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Other Names 1

Doing Business AsPbj Kids Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Philippe Bautista Dmd LLC's NPI number?

The NPI number for Philippe Bautista Dmd LLC is 1417633348. It was assigned to this organization in the NPPES registry on June 26, 2023. The provider is doing business as Pbj Kids Dentistry.

Where is Philippe Bautista Dmd LLC located?

Philippe Bautista Dmd LLC is located at 434 Patrol Rd Suite 210, Jeffersonville, IN 47130. The listed phone number is (812) 582-7255.

What is Philippe Bautista Dmd LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Philippe Bautista Dmd LLC was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.