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DR. EDGAR GARY BAUTISTA DDS
NPI 1902158801
Dentist - General Practice in New York, NY

Active since October 03, 2012
81 IRVING PLACE, SUITE 1-D, NEW YORK, NY 10003(212) 260-2652(212) 533-3331 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edgar Gary Bautista Dds NPPES

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

DR. EDGAR GARY BAUTISTA DDS (NPI 1902158801) is an individual general practice provider in New York, New York, licensed in New York (034002) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1902158801
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDGAR GARY BAUTISTACredential: DDS
Location Address81 IRVING PLACE, SUITE 1-DNew York, NY 10003-2257
Mailing Address81 Irving Place,, Suite 1-dNew York, NY 10003-2257 · (212) 260-2652 · Fax (212) 533-3331
Phone(212) 260-2652
Fax(212) 533-3331
Sole ProprietorYes
Enumeration DateOctober 3, 2012
✔ NPI 1902158801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 034002
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.
81 IRVING PLACE, New York, NY 10003
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Other Providers at the Same Location NPPES 2

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

RACHEL LEE PHD
Psychologist (Clinical)
81 IRVING PLACE, SUITE 1B
NEW YORK, NY 10003
New York County (646) 642-5056
JACOB RAKHMAN MDPC
Urology
81 IRVING PLACE, 1F
NEW YORK, NY 10003
New York County (212) 228-6777

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 Edgar Gary Bautista's NPI number?

The NPI number for Edgar Gary Bautista is 1902158801. It was assigned to this individual provider in the NPPES registry on October 3, 2012.

Where is Edgar Gary Bautista located?

Edgar Gary Bautista practices at 81 Irving Place Suite 1-D, New York, NY 10003. The listed phone number is (212) 260-2652.

What is Edgar Gary Bautista'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 Edgar Gary Bautista was last updated on October 3, 2012. 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.