LANCE C. BAUTISTA DDS, INC.
NPI 1730742701
Dentist - Pediatric Dentistry in Modesto, CA

Active since April 16, 2019
1213 COFFEE RD STE E, MODESTO, CA 95355(209) 523-5437(209) 523-5436 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lance C. Bautista Dds, Inc. NPPES

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

LANCE C. BAUTISTA DDS, INC. (NPI 1730742701) is a healthcare organization registered as a pediatric dentistry in Modesto, California and active in the NPI registry since April 2019. The organization lists Lance C. Bautista, Ceo, President, as its authorized official.

NPPES Registry Identity

NPI1730742701
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLANCE C. BAUTISTA DDS, INC.
Location Address1213 COFFEE RD STE EModesto, CA 95355-4229
Mailing Address1213 Coffee Rd Ste EModesto, CA 95355-4229 · (209) 523-5437 · Fax (209) 523-5436
Fax(209) 523-5436
Organization SubpartNo
Authorized OfficialLance C. BautistaCeo, President · (209) 523-5437
Enumeration DateApril 16, 2019
NPI 1730742701 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.
1213 COFFEE RD STE E, Modesto, CA 95355

Other Names 1

Other NameDr. Lance C. Bautista Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Lance C. Bautista Dds, Inc.'s NPI number?

The NPI number for Lance C. Bautista Dds, Inc. is 1730742701. It was assigned to this organization in the NPPES registry on April 16, 2019. The provider is also known as Dr. Lance C. Bautista Pediatric Dentistry.

Where is Lance C. Bautista Dds, Inc. located?

Lance C. Bautista Dds, Inc. is located at 1213 Coffee Rd Ste E, Modesto, CA 95355. The listed phone number is (209) 523-5437.

What is Lance C. Bautista Dds, Inc.'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 Lance C. Bautista Dds, Inc. was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.