Lance Bautista, DDS - Dentist in Modesto, CA

Lance Bautista, DDS is a Dentist - Pediatric Dentistry based in Modesto, California. Lance Bautista is licensed to practice in California (license number 40138) and his current practice location is 1213 Coffee Rd, Modesto, California. He can be reached at his office (for appointments etc.) via phone at (209) 523-5437.

NPI number for Lance Bautista is 1588704951 and his current mailing address is 1213 Coffee Rd, Modesto, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588704951.

Contact Information

Lance Bautista, DDS
1213 Coffee Rd,
Modesto, CA 95355-4229
(209) 523-5437
(209) 523-5436



Healthcare Provider's Profile

Full NameLance Bautista
GenderMale
SpecialityDentist - Pediatric Dentistry
Location1213 Coffee Rd, Modesto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588704951
  • Provider Enumeration Date: 02/07/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Lance Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588704951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 40138 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lance Bautista is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lance Bautista, DDS
1213 Coffee Rd,
Modesto, CA 95355-4229

Ph: (209) 523-5437
Lance Bautista, DDS
1213 Coffee Rd,
Modesto, CA 95355-4229

Ph: (209) 523-5437

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Dentist in Modesto, CA

Bhavini Harish Shelat, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2801 Coffee Rd, Building B, Modesto, CA 95355
Phone: 209-727-4296    
Dr. Martha L Gomez, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Coffee Rd, Suite 9a, Modesto, CA 95355
Phone: 209-522-8783    Fax: 209-526-1470
Saliem Melles Tsighe, D.M.D
Dentist
Medicare: Medicare Enrolled
Practice Location: 2200 Mchenry Ave Ste B, Modesto, CA 95350
Phone: 209-526-9132    
Dr. John R Jeppson, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1429 College Ave, Suite G, Modesto, CA 95350
Phone: 209-526-0344    Fax: 209-526-0370
Dr. Samuel Ernest Bleakley, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Mchenry Village Way Ste 1, Modesto, CA 95350
Phone: 209-577-1313    Fax: 209-577-8584
Efraim Sanson Florendo, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2605 Coffee Rd, Modesto, CA 95055
Phone: 209-521-0100    
Lynn Zwahlen, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 201 E Orangeburg Ave Ste C, Modesto, CA 95350
Phone: 209-522-5761    Fax: 209-522-1051

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