Dr Damaris Bastian Gen.dent. Llc is a Dental Clinic in Fayetteville, Georgia. It is located at 101 Devant St Ste 404, Fayetteville, GA and its contact number is 678-884-5352. The authorized person for Dr Damaris Bastian Gen.dent. Llc is Damaris Derece Bastian
who is Owner of the clinic and their contact number is 678-884-5352. The primary license number for Dr Damaris Bastian Gen.dent. Llc is 5087 (Dentist) in Louisiana.
Dr Damaris Bastian Gen.dent. Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Dr Damaris Bastian Gen.dent. Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Dr Damaris Bastian Gen.dent. Llc |
| Specialization: | Dentistry |
| Clinic Address: | 101 Devant St Ste 404, Fayetteville,
Georgia, 30214-2713 |
| Phone: | 678-884-5352 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Damaris Derece Bastian |
| Position: | Owner |
| Contact Number: | 678-884-5352 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dr Damaris Bastian Gen.dent. Llc clinic are as mentioned below.
| NPI Number: | 1609089002 |
| NPI Enumeration Date: | 08 May, 2007 |
| NPI Last Update On: | 08 Nov, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr Damaris Bastian Gen.dent. Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 5087 | Louisiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1850870 | Medicaid | Louisiana | |
| 4334104830 | Other | Louisiana | Blue Cross Blue Sheild |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr Damaris Bastian Gen.dent. Llc
101 Devant St Ste 404,
Fayetteville, Georgia |
| Zip: | 30214-2713 |
| Phone Number: | 678-884-5352 |
Patients can reach Dr Damaris Bastian Gen.dent. Llc at
101 Devant St Ste 404, Fayetteville, Georgia or can
call to book an appointment on 678-884-5352.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.