Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr Damaris Bastian Gen Dent LLC

Organization Dentist · NPI 1609089002

Dr Damaris Bastian Gen Dent LLC provides Dentist services in Fayetteville, Georgia. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Devant St Ste 404
Fayetteville, GA 30214-2713
Phone: (678) 884-5352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5087 (LA)

Record details

NPI number1609089002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Damaris Bastian — Owner · (678) 884-5352
NPI enumeratedMay 8, 2007
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing address101 Devant St Ste 404, Fayetteville, GA 30214-2713

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