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DR. DAMARIS DERECE BASTIAN D.D.S.
NPI 1518218353
Dentist - General Practice in Fayetteville, GA

Active since September 19, 2012
101 DEVANT ST STE 404, FAYETTEVILLE, GA 30214(678) 884-5352 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2021, Mar 17, 2018, Jul 17, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Damaris Derece Bastian D.d.s. NPPES

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

DR. DAMARIS DERECE BASTIAN D.D.S. (NPI 1518218353) is an individual general practice provider in Fayetteville, Georgia, licensed in Georgia (DN015482) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1518218353
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAMARIS DERECE BASTIANCredential: D.D.S.
Location Address101 DEVANT ST STE 404Fayetteville, GA 30214-2713
Mailing Address101 Devant St Ste 404Fayetteville, GA 30214-2713 · (678) 884-5352
Phone(678) 884-5352
Sole ProprietorNo
Enumeration DateSeptember 19, 2012
Last NPPES UpdateNovember 8, 20214 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1518218353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in GA · DN015482✔ Licensed in LA · 5087
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.
101 DEVANT ST STE 404, Fayetteville, GA 30214
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Other Identifiers 1

Medicaid1850870LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR DAMARIS BASTIAN GEN.DENT. LLC
Dentist
101 DEVANT ST STE 404
FAYETTEVILLE, GA 30214
Fayette County (678) 884-5352

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 Damaris Bastian's NPI number?

The NPI number for Damaris Bastian is 1518218353. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Damaris Bastian located?

Damaris Bastian practices at 101 Devant St Ste 404, Fayetteville, GA 30214. The listed phone number is (678) 884-5352.

What is Damaris Bastian's specialty?

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

What insurance does Damaris Bastian accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 8 other insurers list Damaris Bastian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Damaris Bastian was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.