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Contact Information

GABRIEL BAUTISTA, DDS
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA23708-2111
 Phone: 757-953-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GABRIEL BAUTISTA · (Male)

NPI Number 1811876816
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/02/2025
Last updated 09/02/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 14234167
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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