Dr. Damaris Derece Bastian is a Fayetteville, Georgia based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Damaris Derece Bastian is DN015482 for General Practice Dentistry in Georgia. Her current practice location is 101 Devant St Ste 404, Fayetteville. Patients can reach her at 678-884-5352.
Dr. Damaris Derece Bastian is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Damaris Derece Bastian speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Damaris Derece Bastian
Specialization:
Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
101 Devant St Ste 404, Fayetteville, Georgia, 30214-2713
Phone:
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 are as mentioned below.
NPI Number:
1518218353
NPI Enumeration Date:
19 Sep, 2012
NPI Last Update On:
08 Nov, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Damaris Derece Bastian are as mentioned below.
License Number
Specialization
State
Status
DN015482
General Practice Dentistry
Georgia
Primary
5087
General Practice Dentistry
Louisiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Damaris Derece Bastian such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1850870
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
101 Devant St Ste 404, Fayetteville, Georgia
Zip:
30214-2713
Phone Number:
678-884-5352
Patients can reach Dr. Damaris Derece Bastian at 101 Devant St Ste 404, Fayetteville, Georgia or can call to book an appointment on 678-884-5352. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.