DR DAMARIS BASTIAN GEN.DENT. LLC
NPI 1609089002
Dentist in Fayetteville, GA

Q: What is Dr Damaris Bastian Gen.Dent. LLC's NPI number?

The NPI number for Dr Damaris Bastian Gen.Dent. LLC is 1609089002. It was assigned to this organization in the NPPES registry on May 8, 2007.

Q: What is Dr Damaris Bastian Gen.Dent. LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 08, 2007

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 16, 2026.

Record update history: Nov 8, 2021, Nov 4, 2021 (2 updates tracked since 2021).

On this page

About Dr Damaris Bastian Gen.dent. Llc NPPES

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

DR DAMARIS BASTIAN GEN.DENT. LLC (NPI 1609089002) is a healthcare organization registered as a dentist in Fayetteville, Georgia and active in the NPI registry since May 2007. The organization lists Damaris Derece Bastian, Owner, as its authorized official.

NPPES Registry Identity

NPI1609089002

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDR DAMARIS BASTIAN GEN.DENT. LLC

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

Organization SubpartNo

Authorized OfficialDamaris Derece BastianOwner · (678) 884-5352

Enumeration DateMay 8, 2007

Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration

NPPES CertifiedNovember 8, 2021

✔ NPI 1609089002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in LA · 5087

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

101 DEVANT ST STE 404, Fayetteville, GA 30214

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Other Identifiers 2

Medicaid1850870LA

Other4334104830LA · Blue Cross Blue Sheild

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

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 DERECE BASTIAN D.D.S.

Dentist (General Practice)

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 Dr Damaris Bastian Gen.Dent. LLC's NPI number?

The NPI number for Dr Damaris Bastian Gen.Dent. LLC is 1609089002. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Dr Damaris Bastian Gen.Dent. LLC located?

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

What is Dr Damaris Bastian Gen.Dent. LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Dr Damaris Bastian Gen.Dent. LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dr Damaris Bastian Gen.Dent. LLC 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 Dr Damaris Bastian Gen.Dent. LLC 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.