Philippe Bautista DMD LLC
NPI 1417633348ActiveOrganization· Dentist, Pediatric Dentistry· Jeffersonville, IN
Dentist, Pediatric Dentistry in Jeffersonville, Indiana, registered in NPPES in June 2023. The authorized official on file is Philippe B. Bautista, DMD, Owner.
Overview
| NPI | 1417633348 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2023 |
| Last updated in NPPES | Dec 6, 2023 |
| Certified by provider | Dec 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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