NPI age
19 years
Enumerated 2007-05-08
● Active Type 2 · Organization
Dr Damaris Bastian Gen.dent. Llc
Dr Damaris Bastian Gen.dent. Llc is 1 of 2660 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bastian
Owner
Last NPPES update
2021-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 2660 active dentist providers in Georgia.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
101 Devant St Ste 404
Fayetteville, GA 302142713
Mailing address
101 Devant St Ste 404
Fayetteville, GA 302142713
Authorized official
Damaris Derece Bastian, DDS
Owner
📞 6788845352
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Damaris Bastian, D.D.S. Dentist NPI 1518218353
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1850870 | |
| 01 (LA) | 4334104830 | BLUE CROSS BLUE SHEILD |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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