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

Lance Bautista, DDS

Individual provider Pediatric Dentistry · NPI 1588704951

Lance Bautista, DDS is a Pediatric Dentistry in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1213 Coffee Rd
Modesto, CA 95355-4229
Phone: (209) 523-5437
Fax: (209) 523-5436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 40138 (CA)

Record details

NPI number1588704951
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJuly 8, 2007

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